Individual
JERRY BEN ROMERO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2900 S STATE ST, SALT LAKE CITY, UT 84115-3891
(801) 983-5540
(801) 983-5542
Mailing address
5196 N. EAST MEADOWS DR., PARK CITY, UT 84098
(435) 640-1227
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
134204-3501
UT
Other
Enumeration date
04/21/2006
Last updated
07/08/2007
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