Individual
JANA LEE WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1105 S STATE ST, CLEARFIELD, UT 84015-1818
(801) 774-8675
(801) 416-0862
Mailing address
1105 S STATE ST, CLEARFIELD, UT 84015-1818
(801) 774-8675
(801) 416-0862
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5759113-3502
UT
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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