Individual
JAMIE DANGERFIELD PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
248 E 13800 S STE 4, DRAPER, UT 84020-5011
(801) 816-1801
Mailing address
6469 S TIMPANOGOS WAY, TAYLORSVILLE, UT 84129-6827
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9171737-3501
UT
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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