Individual
JILL SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
665 CUTLER DR, NORTH SALT LAKE, UT 84054-2970
(801) 936-0318
Mailing address
1312 S 840 W, WOODS CROSS, UT 84087-2000
(801) 915-6684
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205167558
—
UT
Enumeration date
01/27/2010
Last updated
09/30/2022
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