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NPI Code Detail

MEDICARE: AMANDA ALKEMA

MEDICARE: AMANDA ALKEMA
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 Worker7471281-3501UT

General Provider Information

NPI Number : 1346402229
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA ALKEMA
Provider Business Mailing Address
First Line : 195 N 1950 W
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84116-3100
Country : US
Telephone Number : 801-538-4471
Fax Number :
Provider Business Practice Location Address
First Line : 195 N 1950 W
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84116-3100
Country : US
Telephone Number : 801-538-4471
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2008
Last Update Date : 07/28/2015

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Directions to “ AMANDA ALKEMA ” Practice Location

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