Individual
JACLYN LINDSAY HARMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3770
Mailing address
237 26TH ST, OGDEN, UT 84401-3105
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
128745753502
UT
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000055266
MEDICARE PIN
UT
01
—
260022408
RAILROAD MEDICARE
UT
05
—
8760003008007
—
UT
Enumeration date
01/10/2018
Last updated
09/19/2022
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