Individual
JASMINE FITZSIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3350 S 2940 E UNIT 91142, SALT LAKE CITY, UT 84109-7055
(801) 923-4086
Mailing address
3350 S 2940 E UNIT 91142, SALT LAKE CITY, UT 84109-7055
(801) 923-4086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063292704
NPPES
UT
Enumeration date
08/19/2019
Last updated
08/23/2024
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