MRS. Amanda Russell, CSW

NPI #1699730952 in Slc, Utah

Provider Information

NPI Number: 1699730952
Entity Type: Individual
Name: MRS. Amanda Russell, CSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: CSW
Enumeration Date: Apr 19, 2006
Last Updated: Feb 25, 2022

Practice Location

Address: 1578 W 1700 S
Address 2: #200
City: Slc
State: Utah
ZIP Code: 84104-3470
Phone: (801) 972-2711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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