Individual
JENNIFER PANNUNZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2000 CIRCLE OF HOPE DR # 1950, SALT LAKE CITY, UT 84112-5550
(801) 213-5659
Mailing address
1950 CIRCLE OF HOPE DR RM 2246, SALT LAKE CITY, UT 84112-5500
(801) 213-5659
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
342936-3501
UT
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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