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EJAY JACK, LCSW
LCSW
Clinical Social Worker
NPI: 1306500590Individual
Specialties, Licenses & Credentials
Clinical Social WorkerPrimary
Social Worker — Clinical
Code: 1041C0700X
24475(MN)12490452-3501(UT)
Contact & Hours
- Address
- 389 S 900 E
SALT LAKE CITY, UT 84102 - Phone
- (385) 282-2500
Quick Facts
- NPI
- 1306500590
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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