Individual
ALEXANDRA ANN ODETTE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
835 E 4800 S STE 220, MURRAY, UT 84107-5533
(801) 262-5418
Mailing address
835 E 4800 S STE 220, MURRAY, UT 84107-5533
(801) 262-5418
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9614747-3502
UT
Other
Enumeration date
02/28/2021
Last updated
02/28/2021
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