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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREA ELLIS BOTT

Active

ANDREA ELLIS BOTT is a Social Worker healthcare provider located in NORTH LOGAN, Utah. NPI 1285278572 is currently active in the NPPES registry. Verify at CMS.

Social Worker · NORTH LOGAN, UT

Registration Details

NPI Number
1285278572
Provider Type
Individual
Gender
Female
NPI Issued
Oct 30, 2019 (6.7592266772109 yrs)
Last Updated
Jul 26, 2023
License
6790474-3502 (UT)

Practice Information

Address
2072 N MAIN ST STE 205
NORTH LOGAN, UT, 843411700
Browse UT providers · Browse ZIP 84341
Phone
4352131638
Primary Specialty
Social Worker
104100000X
Additional Specialty
Social Worker

Other Social Worker Providers in NORTH LOGAN, UT

Name Credential NPI
DENNIS WILDMAN CSW 1306567672
SIDNEY BRYCE HILL LCSW 1730866419
DANETTE JAN HANSEN MSW 1033094479
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.