Individual
MS. JILL D. HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
450 S 900 E, SALT LAKE CITY, UT 84102-2981
(801) 532-1850
Mailing address
3398 BEAR RIVER RD, SOUTH JORDAN, UT 84095-5001
(801) 599-8209
(801) 532-3608
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
362436-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
362436-3501
LCSW LICENSE
UT
Enumeration date
11/02/2010
Last updated
11/02/2010
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