Individual ProviderSandra PriedemanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1220 E Vine St, Murray, UT 84121-1738(480) 296-5438PECOS EnrollmentBased on the most recent information from CMS, provider Sandra Priedeman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1508377110Provider TypeIndividualFull NamePriedeman, SandraCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date10/23/2017Last Updated10/23/2017Contact InformationPractice LocationPractice Address1220 E Vine St, Murray, UT 84121-1738Phone(480) 296-5438Fax(480) 296-5438Mailing LocationMailing Address109 W Washington Ave, Murray, UT 84107-8202Phone(480) 296-5438FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense7840526-3501Utah