Individual
JESSICA KENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11506 S WATERSIDE RD, SOUTH JORDAN, UT 84095-7937
(801) 735-3252
Mailing address
11506 S WATERSIDE RD, SOUTH JORDAN, UT 84095-7937
(801) 735-3252
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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