Individual
JODI SCOVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6013 S. REDWOOD RD., TAYLORSVILLE, UT 84123
(801) 255-5131
Mailing address
6013 S REDWOOD RD, TAYLORSVILLE, UT 84123-5220
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7126483-2506
UT
104100000X
Social Worker
7126483-3503
UT
Other
Enumeration date
04/29/2015
Last updated
04/14/2022
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