Amanda Russell, CSW Valid NPI
Individual provider · Clinical Social Worker · Slc, UT
- NPI
- 1699730952
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 5922570-3501 (UT)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-04-19
- Last updated
- 2022-02-25
Practice location
1578 W 1700 S, #200
Slc, UT 84104-3470
(801) 972-2711