Individual
JENNAE DEVEREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSWI
Contact information
Practice address
870 E 9400 S STE 100, SANDY, UT 84094-3677
(801) 252-5036
Mailing address
870 E 9400 S STE 100, SANDY, UT 84094-3677
(801) 252-5036
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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