Individual
MRS. JESSIE LIWANU WELCH-STOCKTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
555 FOOTHILL DR, SALT LAKE CITY, UT 84112-1106
(801) 585-1663
Mailing address
7621 S MAPLE ST, MIDVALE, UT 84047-7392
(208) 994-2226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10941331-3501
UT
Other
Enumeration date
03/29/2024
Last updated
03/05/2025
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