Individual
JENNIFER S. NYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-7025
Mailing address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
322757-3501
UT
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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