Individual
MS. ALEXANDRA MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
2200 S STATE ST STE 200, SALT LAKE CITY, UT 84115-2724
(801) 359-8862
Mailing address
2200 S STATE ST STE 200, SALT LAKE CITY, UT 84115-2724
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10964194-3502
UT
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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