Individual
JARED TYSON TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 916-0784
Mailing address
6830 S 1300 W, WEST JORDAN, UT 84084-2505
(801) 259-6434
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10966501-3502
UT
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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