Individual
JESSICA SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1525 N 200 W, LOGAN, UT 84341-2032
(435) 752-8880
Mailing address
10329 S SANDY WILLOWS CV, SANDY, UT 84070-4325
(310) 469-2420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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