Individual
JESSICA CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
870 W, CENTER, UT 84057
(435) 773-7339
Mailing address
60 E 400 N, SPRINGVILLE, UT 84663
(435) 773-7339
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6679223-3501
UT
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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