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NPI Code Detail

MEDICARE: AUBREY MEYER LCSW

MEDICARE:   AUBREY  MEYER  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 Worker8975736-3501UT

General Provider Information

NPI Number : 1225337637
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUBREY MEYER LCSW
Provider Business Mailing Address
First Line : 1336 S 1100 E
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84105-2421
Country : US
Telephone Number : 801-450-7063
Fax Number :
Provider Business Practice Location Address
First Line : 1336 S 1100 E
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84105-2421
Country : US
Telephone Number : 801-450-7063
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2011
Last Update Date : 07/30/2024

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Directions to “ AUBREY MEYER LCSW” Practice Location

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