Individual
JENNY BUNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8160 S HIGHLAND DR, #205, SANDY, UT 84093
(801) 733-4544
Mailing address
8160 S HIGHLAND DR, #205, SANDY, UT 84093
(801) 733-4544
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4747676350
UT
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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