Individual
JESSICA EVA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E MAIN ST STE L4, LEHI, UT 84043-2490
(801) 980-3676
Mailing address
4132 S 700 W, MURRAY, UT 84123-1342
(801) 243-2553
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11179303-3502
UT
Other
Enumeration date
08/29/2020
Last updated
08/29/2020
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