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1154712123
AMY LYNN WHITTAKER
WEST JORDAN, UT
NPI
1154712123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 5225527-3501)
Enumeration Date
2015-02-12
Last Update Date
2015-02-12
Business Address
-- AMY LYNN WHITTAKER LCSW
5500 W BAGLEY PARK RD
WEST JORDAN, UT 84081-5697
Phone number: 801-282-1027
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Mailing Address
-- AMY LYNN WHITTAKER LCSW
5500 W BAGLEY PARK RD
WEST JORDAN, UT 84081-5697
Phone number: 801-282-1027
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