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1790239408
AMY HENDERSON
SALT LAKE CITY, UT
NPI
1790239408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 8911079-3501)
Enumeration Date
2016-08-10
Last Update Date
2016-08-10
Business Address
-- AMY HENDERSON LCSW
65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132-0005
Phone number: 801-585-0499
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Mailing Address
-- AMY HENDERSON LCSW
65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132-0005
Phone number: 801-585-0499
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