Individual
MRS. JENNIFER DAWN SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W., C.S.W.
Contact information
Practice address
1484 S 500 E, KAYSVILLE, UT 84037-3033
(801) 792-8272
Mailing address
1484 S 500 E, KAYSVILLE, UT 84037-3033
(801) 792-8272
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6654944-3502
UT
1041C0700X
Clinical Social Worker
Primary
6654944-3501
UT
Other
Enumeration date
09/27/2007
Last updated
03/24/2017
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