MRS. AMANDA RUSSELL, CSW
Social Worker - Clinical
Active
Individual
NPI: 1699730952
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | No | 5922570-3502 (UT) |
| Social Worker - Clinical | 1041C0700X | Yes | 5922570-3501 (UT) |
Frequently Asked Questions
NPI 1699730952 is the National Provider Identifier for MRS. AMANDA RUSSELL, CSW, a Social Worker - Clinical provider located in Slc, UT. This NPI was enumerated on April 19, 2006.
MRS. AMANDA RUSSELL, CSW practices at 1578 W 1700 S, #200, Slc, UT 84104.
Quick Facts
- NPI
- 1699730952
- Type
- Individual
- Enumerated
- Apr 19, 2006
- Last Updated
- Feb 25, 2022
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