Individual
JENESSA PAIGE BEAUMONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 W 2000 N, MAPLETON, UT 84664-3501
(801) 362-7003
Mailing address
20 W 2000 N, MAPLETON, UT 84664-3501
(801) 362-7003
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11256819-3501
UT
Other
Enumeration date
06/18/2019
Last updated
10/26/2023
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