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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

Quick Facts

NPI
1306500590
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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