Individual
AMY K DILWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5965 S 900 E, MURRAY, UT 84121-1720
(801) 263-7138
Mailing address
5965 S 900 E, MURRAY, UT 84121-1720
(801) 263-7138
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8368695-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010150253
REGENCE BLUE SHIELD
ID
01
—
L4942
BLUE CROSS OF IDAHO
ID
Enumeration date
09/26/2006
Last updated
01/26/2015
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