Individual
ANNELISE LARUE JOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 E FORT UNION BLVD STE C118, MIDVALE, UT 84047-5512
(801) 792-4867
Mailing address
75 E FORT UNION BLVD STE C118, MIDVALE, UT 84047-5512
(801) 792-4867
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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