Individual
KARL EDWARD JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3901 S DAVID PL, WEST VALLEY CITY, UT 84119
(410) 963-0797
Mailing address
252 S 500 E, SALT LAKE CITY, UT 84102-2030
(801) 236-7710
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
374700000X
Technician
—
—
Other
Enumeration date
05/02/2014
Last updated
07/10/2018
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