Individual
MS. JESSICA LESLEY HALE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3809 W 6200 S, KEARNS, UT 84118-3725
(801) 963-4275
(801) 963-4299
Mailing address
2685 IMPERIAL ST, SALT LAKE CITY, UT 84106-3614
(801) 487-1945
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1411693501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107003431101
INTRMTN. HEALTH CARE
UT
01
—
802650
DESERET MUTUAL
UT
01
—
942938348HA5
EDUCATORS MUTUAL
UT
Enumeration date
01/23/2006
Last updated
07/08/2007
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