Individual
MS. MABEL ANN JENTZSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
252 S 500 E, SALT LAKE CITY, UT 84102-2030
(801) 236-7710
(801) 236-7707
Mailing address
501 E CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 236-7710
(801) 236-7707
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
138487-3501
UT
Other
Enumeration date
11/15/2005
Last updated
10/18/2012
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