Individual
JEANA THOMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9035 S 1300 E, SUITE B120, SANDY, UT 84094-3132
(801) 341-2001
Mailing address
9035 S 1300 E, SUITE B120, SANDY, UT 84094-3132
(801) 380-4416
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5246675-3501
UT
Other
Enumeration date
06/06/2011
Last updated
01/14/2013
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