Individual
MISS JESSICA CHANNEL ANNE OSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-5000
Mailing address
2356 W BRODERICK DR, TAYLORSVILLE, UT 84129-7305
(801) 864-0418
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
118418073502
UT
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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