Individual
MR. DAVID BLAINE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
991 S 100 E, RICHFIELD, UT 84701-7030
(435) 201-9228
Mailing address
771 N MAIN ST, CENTRAL VALLEY, UT 84754-3119
(435) 201-9228
(435) 896-8769
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1415763501
UT
Other
Enumeration date
02/08/2007
Last updated
10/29/2018
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