# JENNY JO HOLDINGS INCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780117556
- **Authorized official:** JENNY JO TUTTLE LCS (OWNVER)
- **Authorized official phone:** (801) 214-1582

## Contact information

- **Practice address:** 2180 E 4500 S, SUITE 105, SALT LAKE CITY, UT 84117-4434
- **Practice address phone:** (801) 214-1582
- **Mailing address:** 2840 S BEVERLY ST, SALT LAKE CITY, UT 84106-3170
- **Mailing address phone:** (801) 913-0760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 57349863501 | UT | Yes |

## Other

- **Enumeration date:** 04/07/2017
- **Last updated:** 04/07/2017