Amanda Van Ausdal

NPI 1700123635 - Counselor - 101YM0800X

NPI Details
NPI 1700123635
Gender Female
Enumeration Date 01/11/2013
Last Updated 01/11/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
350 E 2100 S
SALT LAKE CITY UT, 84115-2266, US
Phone (801) 428-3447
Fax
Business Location
5768 W KINTAIL CT
WEST VALLEY UT, 84128-6952, US
Phone (801) 548-0079
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Mrs. Amanda Van Ausdal NPI is 1700123635, taxonomy code is 101YM0800X Amanda Van Ausdal physically located at 350 E 2100 S, Salt Lake City UT, 84115-2266. NPI Number Amanda Van Ausdal has the Individual type.

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1700123635 NPI number is provided on an as is basis without warranty of any kind. 1700123635 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Van Ausdal are for informational purposes only.