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Individual

ANDREW ERIC MUNOZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
59 W 9000 S, SANDY, UT 84070-2008
(801) 251-6077
Mailing address
1230 E PRIVET DR UNIT 4-427, SALT LAKE CITY, UT 84121-7621
(018) 251-6077

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11266039-3501
UT
1041C0700X
Clinical Social Worker
SX61333841
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1801535943
WA
Enumeration date
05/27/2022
Last updated
11/14/2024
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