Individual
JESSICA CONSTANTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 W 400 S, SALT LAKE CITY, UT 84101-1829
(702) 281-8658
Mailing address
230 W 400 S, SALT LAKE CITY, UT 84101-1829
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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