Individual
AMANDA LYN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 891-2663
Mailing address
1609 SW CHANDLER AVE UNIT 310, BEND, OR 97702-5100
(706) 834-7564
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW09927138
CO
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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