Individual
JENNIFER S SQUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7084 S 2300 E STE 120, SALT LAKE CITY, UT 84121-3978
(801) 808-2410
Mailing address
7084 S 2300 E STE 120, SALT LAKE CITY, UT 84121-3978
(801) 808-2410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3532023501
UT
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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