Individual
JENNIE HOUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2130 W 1800 S, WEST HAVEN, UT 84401-0106
(385) 417-4182
Mailing address
2130 W 1800 S, WEST HAVEN, UT 84401-0106
(385) 417-4182
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12224255-3502
UT
Other
Enumeration date
09/04/2020
Last updated
09/18/2023
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