Individual
JEANICE ALEXANDRA ROBINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 E 200 N, LOGAN, UT 84321-4034
(801) 600-8518
Mailing address
628 CANYON RD, LOGAN, UT 84321-4241
(801) 600-8518
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285736553
—
UT
Enumeration date
07/25/2021
Last updated
07/25/2021
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