Individual
JASON JAMES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW,
Contact information
Practice address
3809 W 6200 S, TAYLORSVILLE, UT 84129-3725
(888) 949-4864
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7768161-3502
UT
Other
Enumeration date
07/05/2012
Last updated
11/28/2018
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