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1164102802
JESSICA ESTRADA
OGDEN, UT
NPI
1164102802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: UT 12417845-3501)
Enumeration Date
2023-07-18
Last Update Date
2023-07-18
Business Address
JESSICA ESTRADA
2240 ADAMS AVE
OGDEN, UT 84401-1511
Phone number: 801-393-5355
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Mailing Address
JESSICA ESTRADA
308 BLUFF ST
PROVIDENCE, UT 84332-9306
Phone number: 435-237-7940
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