Individual
JESSICA XAIZ MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6850 S 1495 E, COTTONWOOD HEIGHTS, UT 84121-2728
(801) 699-7256
Mailing address
6850 S 1495 E, COTTONWOOD HEIGHTS, UT 84121-2728
(801) 699-7256
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7390666-3502
UT
Other
Enumeration date
06/30/2009
Last updated
05/07/2014
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