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NPI Code Detail

MEDICARE: ANNE EVANS-CAZIER LCSW

MEDICARE:   ANNE  EVANS-CAZIER  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 Worker5970882-3501UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12033511138AECOTHERUTEDUCATORS MUTUAL
259708823500001OTHERUTREGENCE BXBS

General Provider Information

NPI Number : 1558457481
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE EVANS-CAZIER LCSW
Provider Business Mailing Address
First Line : 1308 S 1700 E
Second Line : SUITE 210
City : SALT LAKE CITY
State : UT
Zip : 84108-2273
Country : US
Telephone Number : 801-419-3312
Fax Number : 801-907-7162
Provider Business Practice Location Address
First Line : 1308 S 1700 E
Second Line : SUITE 210
City : SALT LAKE CITY
State : UT
Zip : 84108-2273
Country : US
Telephone Number : 801-419-3312
Fax Number : 801-907-7162
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 05/13/2016

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Directions to “ ANNE EVANS-CAZIER LCSW” Practice Location

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