Individual
JASON UTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1776 S MAIN ST, SALT LAKE CITY, UT 84115-1951
(801) 556-1075
Mailing address
8842 S MIDVALLEY DR, WEST JORDAN, UT 84088-9022
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6675518-3502
UT
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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