Individual
JESSICA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
498 N KAYS DR STE 210, KAYSVILLE, UT 84037-4153
(801) 738-4653
Mailing address
498 N KAYS DR STE 210, KAYSVILLE, UT 84037-4153
(801) 738-4653
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12094206-3501
UT
Other
Enumeration date
10/31/2014
Last updated
02/25/2024
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