Individual
DR. ANGELA MARIE JETTE SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1400 FOOTHILL DR STE 24, SALT LAKE CITY, UT 84108-2392
(801) 581-0422
Mailing address
310 MATTERHORN DR, PARK CITY, UT 84098-5230
(435) 640-2677
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
4928114-2501
UT
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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