Individual
JENISABEL S PYZIKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10782 S OZARKS DR, SOUTH JORDAN, UT 84009-5693
(203) 820-3047
Mailing address
10782 S OZARKS DR, SOUTH JORDAN, UT 84009-5693
(203) 820-3047
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11339443-3501
UT
104100000X
Social Worker
097800
NY
Other
Enumeration date
11/20/2018
Last updated
08/26/2022
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