Individual
JASON ROBERT NOALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3658
Mailing address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3658
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10441428-3502
UT
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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