Individual
MS. MEISHA CAROL JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
450 S 900 E, 300, SALT LAKE CITY, UT 84102-2981
(801) 580-2015
Mailing address
4072 S 300 E APT 8, SALT LAKE CITY, UT 84107-1619
(801) 580-2015
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6262094-3501
UT
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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