Individual
AMBER L. BAUERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1020 S MAIN ST STE 218, SALT LAKE CITY, UT 84101-3176
(888) 949-4864
Mailing address
3281 W BLUE SPRINGS LN, BLUFFDALE, UT 84065-5649
(385) 515-5445
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LW60058539
WA
1041C0700X
Clinical Social Worker
Primary
9399264-3501
UT
1041C0700X
Clinical Social Worker
LW60058539
WA
Other
Enumeration date
12/13/2006
Last updated
11/07/2018
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