Individual
MS. JEANETTE M RICCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5770 S 1500 W, TAYLORSVILLE, UT 84123-5216
(801) 313-7940
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 313-7940
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
131120-3501
UT
Other
Enumeration date
02/03/2014
Last updated
04/20/2022
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