Individual
JONATHAN MARTIN BENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
258 E 12200 S, DRAPER, UT 84020-7817
(385) 215-9794
Mailing address
630 S HARMONY CT, SALT LAKE CITY, UT 84102-3446
(801) 520-2038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12867835-3501
UT
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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