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Organization
BALANCED EARTH WELLNESS LLC
Active
Organization
BALANCED EARTH WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIO JARVIS LCSW (OWNER)
(801) 577-0461
Entity
Organization
Contact information
Practice address
6995 S TOURIST LN APT 12, WEST JORDAN, UT 84081-3737
(801) 577-0461
Mailing address
PO BOX 162, WEST JORDAN, UT 84084-0162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
01/12/2023
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