Individual
JESSICA SROUFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12760 S PARK AVE UNIT 520, RIVERTON, UT 84065-3422
(801) 407-0047
Mailing address
12760 S PARK AVE UNIT 520, RIVERTON, UT 84065-3422
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/03/2012
Last updated
05/08/2025
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