Individual
MRS. LOUISE BELNAP JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94 E PAGES LN, #A, CENTERVILLE, UT 84014-2216
(801) 294-0578
(801) 298-2147
Mailing address
1126 SUNSET DR, KAYSVILLE, UT 84037-9683
(801) 546-0825
(801) 546-2313
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7084541-2504
UT
Other
Enumeration date
08/09/2007
Last updated
07/29/2008
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