Individual
JESSICA DRURY RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3149 S 3075 E, SALT LAKE CITY, UT 84109-2110
(801) 673-4244
Mailing address
3149 S 3075 E, SALT LAKE CITY, UT 84109-2110
(801) 673-4244
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8489942-3501
UT
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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