Individual
MR. MICHAEL D JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW BCD
Contact information
Practice address
50 SOUTH MAIN, # 25, MANTI, UT 84642
(435) 528-7048
(435) 528-7048
Mailing address
PO BOX 936, GUNNISON, UT 84634-0936
(435) 528-7048
(435) 528-7048
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1140763501
UT
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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