Individual
JAN R MAGDALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2071 E ASHTON CIR, SALT LAKE CITY, UT 84109-1103
(801) 582-2705
(801) 582-2705
Mailing address
2071 E ASHTON CIR, SALT LAKE CITY, UT 84109-1103
(801) 582-2705
(801) 582-2705
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
135045-3501
UT
Other
Enumeration date
11/16/2006
Last updated
07/09/2015
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