Individual
JESSICA GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0639
Mailing address
12401 S 450 E UNIT D2, DRAPER, UT 84020-7938
(801) 277-6851
(385) 274-2140
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13405149-3502
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/18/2023
Last updated
08/23/2023
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