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Organization
PREPARED ACCEPTANCE
Active
Organization
PREPARED ACCEPTANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN LYMAN DYE LCSW (CEO)
(801) 901-3692
Entity
Organization
Contact information
Practice address
1893 E SKYLINE DR STE 110D, SOUTH OGDEN, UT 84403-5218
(801) 901-3692
(855) 636-8306
Mailing address
320 CHERRY DR, RIVERDALE, UT 84405-5532
(801) 901-3692
(855) 636-8306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/03/2023
Last updated
08/06/2025
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