JACOB K VICKREY

SOUTH JORDAN, UT
NPI1053889501
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  9742056-3501)
Enumeration Date2018-11-02
Last Update Date2022-10-19
Business Address
JACOB K VICKREY LCSW
10654 S RIVER HEIGHTS DR STE 320
SOUTH JORDAN, UT 84095-5544
Phone number: 801-896-8133
Mailing Address
JACOB K VICKREY LCSW
14664 S WARD HILLS CIR
HERRIMAN, UT 84096-1256
Phone number: 760-792-3671
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