Individual
JENNIFER THOMAS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
45 EAST 100 SOUTH, CASTLE DALE, UT 84513
(435) 381-2432
(435) 381-2542
Mailing address
PO BOX 867, 105 WEST 100 NORTH, PRICE, UT 84501
(435) 637-7200
(435) 637-2377
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
50356563501
UT
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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