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Amanda Russell, CSW
NPI 1699730952 · on the registry since 2006
Practice
- Address
- 1578 W 1700 S
#200
Slc, UT 84104 - Phone
- (801) 972-2711
- Fax
- (801) 972-2709
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah