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Individual

MCKENZIE MARIA ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
240 N EAST PROMONTORY STE 200, FARMINGTON, UT 84025-2950
(385) 390-3579
Mailing address
240 N EAST PROMONTORY STE 200, FARMINGTON, UT 84025-2950
(385) 390-3579

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
226891877
DRIVER'S LICENSE
UT
Enumeration date
08/21/2019
Last updated
12/29/2023
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