Individual
JAN BODILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 W 100 N, PRICE, UT 84501
(435) 637-7200
Mailing address
PO BOX 867, PRICE, UT 84501
(435) 637-7200
(435) 637-2377
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2794283501
UT
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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