Individual
JODY BURNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2989 W MAPLE LOOP DR STE 210, LEHI, UT 84043-7413
(801) 407-4134
(801) 877-0864
Mailing address
PO BOX 50207, PROVO, UT 84605-0207
(801) 407-4134
(801) 877-0864
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
366187-3501
UT
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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