Individual
MRS. JANELLE IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5250 COMMERCE DR, #250, MURRAY, UT 84107-7926
(801) 261-3500
(801) 261-2111
Mailing address
5250 COMMERCE DR, #250, MURRAY, UT 84107-7926
(801) 261-3500
(801) 261-2111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5666631-3501
UT
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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