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Individual

ANDREA JOYCE AZOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
344 E 100 S, SUITE 301, SLC, UT 84111-1700
(801) 322-4257
Mailing address
1723 25TH ST, OGDEN, UT 84401-3005
(801) 564-9200

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5275947-6006
UT

Other

Enumeration date
11/23/2015
Last updated
11/23/2015
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