Organization
JENNY JO HOLDINGS INCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY JO TUTTLE LCS (OWNVER)
(801) 214-1582
Entity
Organization
Contact information
Practice address
2180 E 4500 S, SUITE 105, SALT LAKE CITY, UT 84117-4434
(801) 214-1582
Mailing address
2840 S BEVERLY ST, SALT LAKE CITY, UT 84106-3170
(801) 913-0760
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
57349863501
UT
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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