Individual
MRS. ELISABETH K. JOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
262 E 3900 S, 102, SALT LAKE CITY, UT 84107-1550
(801) 943-1981
Mailing address
9770 DANTE CIR, SANDY, UT 84092-4272
(801) 943-1981
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
90-1372353501
UT
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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