Individual
JESSICA NICOLE ENDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1672 W 700 S, SUITE D, SPRINGVILLE, UT 84663-4963
(801) 489-9721
Mailing address
2450 S EL DORADO, MESA, AZ 85202-7306
(602) 421-7055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18437
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2012
Last updated
11/02/2020
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