Individual
JACQUELIN HAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
375 S MAIN ST # 322, MOAB, UT 84532
(505) 633-5470
Mailing address
375 S MAIN ST # 322, MOAB, UT 84532-2557
(505) 633-5470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
125905553501
UT
1041C0700X
Clinical Social Worker
Primary
C12047
NM
Other
Enumeration date
10/02/2017
Last updated
03/28/2022
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