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Individual

DR. JILL M ZABLOCKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
574 E 12TH AVE, SALT LAKE CITY, UT 84103-3224
(801) 875-1926
(646) 843-4713
Mailing address
574 E 12TH AVE, SALT LAKE CITY, UT 84103-3224
(801) 875-1926
(646) 843-4713

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
017071
NY
103TC0700X
Clinical Psychologist
5088
NJ
103TC0700X
Clinical Psychologist
Primary
9226522-2501
UT

Other

Enumeration date
01/28/2008
Last updated
11/04/2016
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