Individual
JEDEDIAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2740 PENNSYLVANIA AVE, OGDEN, UT 84401-3320
(801) 675-5624
Mailing address
2740 PENNSYLVANIA AVE, OGDEN, UT 84401-3320
(801) 675-5624
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13987533-3502
UT
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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