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Individual

MR. JARED BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CCC/SLP

Contact information

Practice address
1098 W 10550 S, SOUTH JORDAN, UT 84095-8597
(801) 253-1023
Mailing address
1098 W 10550 S, SOUTH JORDAN, UT 84095-8597
(801) 253-1023

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5223035-4102
UT

Other

Enumeration date
08/10/2009
Last updated
08/10/2009
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