Individual
JESSICA JEAN TIBBITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
244 W HIGHWAY 40, ROOSEVELT, UT 84066-3760
(435) 401-3001
(801) 375-4241
Mailing address
PO BOX 304, ROOSEVELT, UT 84066-0304
(435) 401-3001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/12/2012
Last updated
04/02/2020
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