Individual
JENNIFER BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5373 S GREEN ST, MURRAY, UT 84123-4680
(833) 442-2670
Mailing address
5373 S GREEN ST, MURRAY, UT 84123-4680
(833) 442-2670
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11818566-3501
UT
1041C0700X
Clinical Social Worker
150.014503
IL
Other
Enumeration date
12/17/2013
Last updated
05/09/2025
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