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AMY I GAUGH LCSW

Individual Provider (NPI-1) Active

Social Worker, Clinical

Provider Information

NPI Number
1295161743
Provider Type
Individual Provider (NPI-1)
Credentials
LCSW
Status
Active

Contact & Location

Address
5242 S 4820 W, KEARNS, UT, 841186422
Phone
(801) 966-4251
Fax
(801) 966-4289

Specialties & Taxonomies

Social Worker, Clinical License: MT #72471
Social Worker, Clinical Primary License: UT #9039386-3501

All Addresses

MAILING

5242 S 4820 W

KEARNS, UT, 841186422

(801) 966-4251

LOCATION

5242 S 4820 W

KEARNS, UT, 841186422

(801) 966-4251