Individual
JESSICA WASSINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS
Contact information
Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-5000
Mailing address
1855 S WASATCH DR, SALT LAKE CITY, UT 84108-3323
(651) 319-2215
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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