Individual
JESSICA WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12350 S 800 E, DRAPER, UT 84020-9712
(801) 998-8429
(801) 407-1611
Mailing address
12350 S 800 E, DRAPER, UT 84020-9712
(801) 998-8429
(801) 407-1611
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
UT
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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