Organization
JENNIFER SQUIRE PC
Active
Other names
Center for Christian therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SQUIRE LCSW (PRESIDENT)
(801) 808-2410
Entity
Organization
Contact information
Practice address
7084 S 2300 E, SUITE 140, SALT LAKE CITY, UT 84121-3968
(801) 808-2410
Mailing address
7084 S 2300 E, SUITE 140, SALT LAKE CITY, UT 84121-3968
(801) 808-2410
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C6715627
UT
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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