Individual
MR. LYNN H JORGENSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
4552 WEDGEWOOD DR, PLEASANT GROVE, UT 84062-8746
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
120651-3501
UT
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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