Individual
JENNIFER RUGGERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8TH AVENUE C ST E, SALT LAKE CITY, UT 84047
(801) 408-4118
Mailing address
35 W CENTER ST UNIT 224, MIDVALE, UT 84047-6810
(801) 449-0425
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4955248-3501
UT
Other
Enumeration date
10/29/2019
Last updated
08/01/2020
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