Individual
JACQUELINE HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10151 MAJESTIC CANYON RD, SANDY, UT 84092-4521
(801) 809-5050
Mailing address
10151 MAJESTIC CANYON RD, SANDY, UT 84092-4521
(801) 809-5050
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7324191-6009
UT
Other
Enumeration date
09/19/2007
Last updated
06/30/2009
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