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NPI Code Detail

MEDICARE: MARGARET BROOKE ANDERSON LCSW

MEDICARE: MARGARET BROOKE ANDERSON 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 Worker8975471-3501UT

General Provider Information

NPI Number : 1538509575
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET BROOKE ANDERSON LCSW
Provider Business Mailing Address
First Line : 6850 S SPRINGBROOK WAY
Second Line :
City : COTTONWOOD HEIGHTS
State : UT
Zip : 84121-2812
Country : US
Telephone Number : 385-246-3773
Fax Number :
Provider Business Practice Location Address
First Line : 265 E 100 S STE 250
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84111-1643
Country : US
Telephone Number : 385-246-3773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2013
Last Update Date : 11/08/2021

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