Individual
JESSICA BAKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1588 MAJOR ST, SLC, UT 84115-1631
(801) 467-6060
Mailing address
1588 MAJOR ST, SLC, UT 84115-1631
(801) 467-6060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
48196743501
UT
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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