Individual
JEANA H BERUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
433 N 1500 W, NORTH OGDEN, UT 84404-4746
(801) 710-2372
Mailing address
861 E 3625 N, NORTH OGDEN, UT 84414-4905
(801) 710-2372
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
352385-3501
UT
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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