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Contact Information

ALLYSON J ANDERSON, SUDC, SSW
91 E FORT UNION BLVD
MIDVALE, UT84047-1531
 Phone: 801-569-1995
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for ALLYSON J ANDERSON · (Female)

NPI Number 1568349041
Status Active
Credentials SUDC, SSW
Entity Individual
Enumeration date 08/18/2025
Last updated 08/18/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • UT License # 13778272-3503
  • UT License # 13778272-6006
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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