Individual
JORDAN RASCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1404 W STATE RD, PLEASANT GROVE, UT 84062-5019
(808) 979-5821
Mailing address
4172 E CENTER POINT ST, EAGLE MOUNTAIN, UT 84005-5336
(808) 979-5821
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9799735-3501
UT
Other
Enumeration date
06/13/2016
Last updated
07/13/2023
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