Individual
JADE LUBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
348 E 4500 S, SALT LAKE CITY, UT 84107-3906
(801) 971-0446
(801) 971-0446
Mailing address
830 E 6TH AVE APT 3, SALT LAKE CITY, UT 84103-3590
(801) 971-0446
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
104628143502
UT
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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