Individual
JENNA LEE SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1290 S 500 W STE 300, WOODS CROSS, UT 84010-8104
(801) 734-0581
Mailing address
3983 S 855 E, MILLCREEK, UT 84107-2366
(801) 734-0581
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9455954-3501
UT
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/02/2011
Last updated
07/21/2021
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