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Individual

JEAN SODERQUIST

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2880 W 4700 S, SUITE A, WEST VALLEY CITY, UT 84118-2156
(801) 964-2465
(801) 964-9075
Mailing address
3557 ORCHARD HILLS WAY, WEST VALLEY CITY, UT 84128-2472
(801) 252-1975
(801) 964-9075

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
116830-3902
UT

Other

Enumeration date
03/10/2006
Last updated
07/08/2007
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