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1184068090
JENNY WHITE
PROVO, UT
NPI
1184068090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 5864136-3501)
Enumeration Date
2013-04-22
Last Update Date
2013-04-22
Business Address
Miss JENNY WHITE LCSW
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
Miss JENNY WHITE LCSW
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number:
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