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NPI Code Detail

MEDICARE: AMY LOUISE UHLIG LCSW

MEDICARE:   AMY LOUISE UHLIG  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker11126950-3501UT

General Provider Information

NPI Number : 1093517203
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY LOUISE UHLIG LCSW
Provider Business Mailing Address
First Line : 1323 E VILLA VISTA AVE APT 622
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-4833
Country : US
Telephone Number : 678-640-1493
Fax Number :
Provider Business Practice Location Address
First Line : 1323 E VILLA VISTA AVE APT 622
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-4833
Country : US
Telephone Number : 678-640-1493
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2025
Last Update Date : 03/26/2025

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Directions to “ AMY LOUISE UHLIG LCSW” Practice Location

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