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Individual

MISS ANNAMARIA VANDRUNEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CM

Contact information

Practice address
3944 S 400 E, SALT LAKE CITY, UT 84107-1600
(801) 261-1442
Mailing address
3944 S 400 E, SALT LAKE CITY, UT 84107-1600
(801) 261-1442

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12369
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12369
CASEMANGER
UT
Enumeration date
03/14/2011
Last updated
03/14/2011
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