Individual
JASON SCHULZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
265 E 100 S STE 250, SALT LAKE CITY, UT 84111-1643
(415) 531-4683
Mailing address
PO BOX 680135, PARK CITY, UT 84068-0135
(415) 531-4683
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9069104-3501
UT
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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