Individual
JERALD J JEFFERIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1140 36TH ST STE 285, OGDEN, UT 84403-2064
(801) 928-8567
(801) 419-0699
Mailing address
PO BOX 3986, SALT LAKE CITY, UT 84110-3986
(801) 928-8567
(801) 419-0699
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
119437-3501
UT
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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