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Individual

JESSICA WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
724 E 2100 S STE B, SALT LAKE CITY, UT 84106-1830
(801) 487-0499
Mailing address
724 E 2100 S STE B, SALT LAKE CITY, UT 84106-1830
(801) 487-0499

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/05/2015
Last updated
07/21/2022
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