Individual
JAMIE PAULA WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1950 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5500
(801) 587-4091
Mailing address
458 E EDITH AVE APT 1, SALT LAKE CITY, UT 84111-4781
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
104169274102
UT
Other
Enumeration date
01/09/2020
Last updated
11/23/2021
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