Individual
MS. AMANDA JAE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5814 S 900 E, MURRAY, UT 84121-1644
(385) 800-3272
(385) 800-3260
Mailing address
5814 S 900 E, MURRAY, UT 84121-1644
(801) 550-2507
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9430005-3501
UT
Other
Enumeration date
08/10/2010
Last updated
07/16/2023
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