Individual
MRS. JENNIFER ANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1766 S 2100 E, SALT LAKE CITY, UT 84108-3067
(801) 403-8626
Mailing address
1766 S 2100 E, SALT LAKE CITY, UT 84108-3067
(801) 403-8626
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
367893-3501
UT
Other
Enumeration date
10/21/2006
Last updated
02/14/2024
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