| Anne Freed Lcsw Llc | |
|
4505 S Wasatch Blvd Ste 320 Slc UT 84124-4755 | |
| (801) 556-2430 | |
| (801) 277-8800 |
| Full Name | Anne Freed Lcsw Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4505 S Wasatch Blvd Ste 320, Slc, Utah |
| Authorized Official Name and Position | Anne F Goldberg (OWNER) |
| Authorized Official Contact | 8015562430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anne Freed Lcsw Llc 4505 S Wasatch Blvd Ste 320 Slc UT 84124-4755 Ph: (801) 556-2430 | Anne Freed Lcsw Llc 4505 S Wasatch Blvd Ste 320 Slc UT 84124-4755 Ph: (801) 556-2430 |
| NPI Number | 1124657853 |
|---|---|
| Provider Enumeration Date | 04/04/2020 |
| Last Update Date | 05/13/2020 |
| Certification Date | 05/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124657853 | NPI | - | NPPES |
| 47411233501 | Other | UT | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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