Individual
JENNIFER LYNNELL EAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
2970 S MAIN ST, SUITE NUMBER 100, SALT LAKE CITY, UT 84115-3553
(801) 746-5561
Mailing address
2777 W 5825 S, ROY, UT 84067-1155
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3083466-3502
UT
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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