Individual
LARA-JILL JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
6933 S 1300 W, WEST JORDAN, UT 84084-2554
(801) 432-7903
Mailing address
497 S 1680 E, SPRINGVILLE, UT 84663-2727
(801) 787-5900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7088571-4102
UT
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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