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Individual

JESSA K SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
384 E 60 S, AMERICAN FORK, UT 84003-3835
(801) 901-0279
Mailing address
515 N 200 E APT 12, PROVO, UT 84606-7043

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
04/01/2024
Last updated
04/01/2024
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