Individual
JESSICA HOLZBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
925 E 900 S, #42, SALT LAKE CITY, UT 84105-1401
(801) 657-0897
Mailing address
925 E 900 S, #42, SALT LAKE CITY, UT 84105-1401
(801) 657-0897
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7576154-3501
UT
Other
Enumeration date
02/06/2012
Last updated
12/02/2021
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