Individual
MRS. JESSICA LEIGH WITHEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
807 E. SOUTH TEMPLE, SUITE 200, SALT LAKE CITY, UT 84102
(385) 421-5192
Mailing address
807 E. SOUTH TEMPLE, SUITE 200, SALT LAKE CITY, UT 84102
(310) 483-9577
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
26267
CA
1041C0700X
Clinical Social Worker
Primary
7415151-3501
UT
Other
Enumeration date
03/06/2007
Last updated
09/12/2024
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