Individual
MR. JED HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
607 E 200 S, SALT LAKE CITY, UT 84102-2110
(801) 363-0203
Mailing address
607 E 200 S, SALT LAKE CITY, UT 84102-2110
(801) 636-0203
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
131894-3501
UT
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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