Individual
JENNY TAYLOR HALLISEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, IN PROCESS
Contact information
Practice address
25 S MAIN ST STE 100A, CENTERVILLE, UT 84014-1884
(801) 900-8130
Mailing address
25 S MAIN ST STE 100A, CENTERVILLE, UT 84014-1884
(801) 900-8130
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
10/08/2024
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