Individual
JACQUELINE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1576 S 500 W, WOODS CROSS, UT 84010-7433
(801) 406-9002
Mailing address
1576 S 500 W, WOODS CROSS, UT 84010-7433
(801) 406-9002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14013707-3502
UT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
04/16/2026
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