Individual
AMBER VANDERSTAPPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2285 E EMERSON AVE, SLC, UT 84108-2305
(801) 808-9235
Mailing address
2285 E EMERSON AVE, SLC, UT 84108-2305
(801) 808-9235
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7362658-3501
UT
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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