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NPI Code Detail

MEDICARE: ALYSSA SNYDER LCSW

MEDICARE: ALYSSA SNYDER 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
1104100000XSocial Worker12976637-3502UT

General Provider Information

NPI Number : 1093431546
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA SNYDER LCSW
Provider Business Mailing Address
First Line : 660 S 200 E
Second Line :
City : SLC
State : UT
Zip : 84111-3835
Country : US
Telephone Number : 801-359-2256
Fax Number :
Provider Business Practice Location Address
First Line : 660 S 200 E
Second Line :
City : SLC
State : UT
Zip : 84111-3835
Country : US
Telephone Number : 801-359-2256
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2022
Last Update Date : 01/07/2026

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Directions to “ ALYSSA SNYDER LCSW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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