Individual
JASON SCHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 587-3000
Mailing address
115 S 1100 E UNIT 612, SALT LAKE CITY, UT 84102-1536
(801) 389-6883
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13265011-3502
UT
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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