Individual
MS. ELAINE D. JEWETT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
C.S.W.
Contact information
Practice address
1141 E 3900 S, SUITE A-170, SALT LAKE CITY, UT 84124-1215
(801) 284-4990
Mailing address
7643 COUNTRY MILL CT, WEST JORDAN, UT 84084-4159
(801) 352-1103
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5965404-3502
UT
Other
Enumeration date
05/08/2006
Last updated
07/08/2007
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