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 4 years ago
Practice Location
350 E 2100 S
SALT LAKE CITY UT, 84115-2266, US
Phone (801) 428-3447
Business Location
WEST VALLEY UT, 84128-6952, US
Phone (801) 548-0079
Taxonomy Code 101YM0800X
License State
License Number
Remove 1700123635 NPI Number

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.