Individual
JORDAN ELI KWAMANAKWEENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
5965 S 900 E STE 100, MURRAY, UT 84121-1850
(888) 762-7938
Mailing address
1700 W 1750 S, 306, SALT LAKE CITY, UT 84104-8410
(717) 283-6384
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
13571777-2501
UT
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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