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Individual

MRS. JENNIFER LEE CALCUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. PSYC INTERN

Contact information

Practice address
1140 36TH ST STE 210, OGDEN, UT 84403-2069
(801) 430-3911
Mailing address
1140 36TH ST STE 210, OGDEN, UT 84403-2069
(801) 430-3911

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
UT

Other

Enumeration date
03/05/2010
Last updated
03/05/2010
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