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1205240108
JAMIE MICHELLE MORTENSEN
SALT LAKE CITY, UT
NPI
1205240108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 8272237-3501)
Enumeration Date
2014-06-18
Last Update Date
2015-01-07
Business Address
-- JAMIE MICHELLE MORTENSEN LCSW
5770 S 1500 W BLDG. G
SALT LAKE CITY, UT 84123-5216
Phone number: 801-313-7770
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Mailing Address
-- JAMIE MICHELLE MORTENSEN LCSW
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-313-7770
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