Individual
MS. JENNICA MCKEAN DUPLESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
106S00000X
Contact information
Practice address
1140 W 1130 S, BUILDING B, OREM, UT 84058-2888
(801) 935-4171
Mailing address
1140 W 1130 S, BUILDING B, OREM, UT 84058-2888
(801) 935-4946
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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