| Jenny Jo Holdings Ince | |
|
2180 E 4500 S Suite 105 Salt Lake City UT 84117-4434 | |
| (801) 214-1582 | |
| Not Available |
| Full Name | Jenny Jo Holdings Ince |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2180 E 4500 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Jenny Jo Tuttle (OWNVER) |
| Authorized Official Contact | 8012141582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenny Jo Holdings Ince 2840 S Beverly St Salt Lake City UT 84106-3170 Ph: (801) 913-0760 | Jenny Jo Holdings Ince 2180 E 4500 S Suite 105 Salt Lake City UT 84117-4434 Ph: (801) 214-1582 |
| NPI Number | 1780117556 |
|---|---|
| Provider Enumeration Date | 04/07/2017 |
| Last Update Date | 04/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780117556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 57349863501 (Utah) | Primary |
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