Individual
AMBER HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 N GRANT ST, SLC, UT 84116-2725
(801) 359-8862
Mailing address
411 N GRANT ST, SLC, UT 84116-2725
(801) 359-8862
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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