Individual
AMY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
65 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84132-0005
(801) 585-0499
(801) 581-3357
Mailing address
65 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84132-0005
(801) 585-0499
(801) 581-3357
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8911079-3501
UT
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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