AVERY ALEXANDER LCSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1679154892- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LCSW
- Status
- Active
Contact & Location
- Address
- 5500 W BAGLEY PARK RD, WEST JORDAN, UT, 840815697
- Phone
- (801) 282-1000
Specialties & Taxonomies
Social Worker, Clinical
Social Worker, Clinical
Primary License: UT #11542668-3501