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Individual

MS. MARIE TERESE JEFFERIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSW

Contact information

Practice address
1140 36TH ST, OGDEN, UT 84403-2050
(801) 860-0855
Mailing address
1009 CRANDALL AVE, SALT LAKE CITY, UT 84106-2664

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7975297-3502
UT

Other

Enumeration date
08/09/2011
Last updated
08/09/2011
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