Individual
MRS. ANDREA DARA RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1164 E 1300 S, SALT LAKE CITY, UT 84105-1947
(801) 808-6932
Mailing address
1164 E 1300 S, SALT LAKE CITY, UT 84105-1947
(801) 808-6932
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9435841-3502
UT
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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