Individual
JACQUELINE LOUISE LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4625 S 2300 E STE 211, HOLLADAY, UT 84117-4582
(801) 865-1453
Mailing address
8920 S QUAIL RUN DR, SANDY, UT 84093-1710
(801) 875-8980
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8898999-3501
UT
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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