Individual
JARED BYSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
503 W 2600 S # 200, BOUNTIFUL, UT 84010-7717
(801) 529-6029
Mailing address
503 W 2600 S # 200, BOUNTIFUL, UT 84010-7717
(801) 529-6029
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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