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Individual

CHRISTINA JEANNE JEFFERY CACKLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, MPH

Contact information

Practice address
7533 S CENTER VIEW CT STE N, WEST JORDAN, UT 84084-5526
(801) 228-0927
Mailing address
7533 S CENTER VIEW CT STE N, WEST JORDAN, UT 84084-5526
(801) 228-0927

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
104100000X
Social Worker
ASW60571
CA
1041C0700X
Clinical Social Worker
Primary
10999106-3501
UT

Other

Enumeration date
09/06/2016
Last updated
02/07/2025
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