AMANDA JACKSON

LAYTON, UT
NPI1245755800
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  4959997-3501)
Additional Taxonomies1041C0700X Social Worker, Clinical
Enumeration Date2017-08-04
Last Update Date2023-02-07
Business Address
AMANDA JACKSON
1660 W ANTELOPE DR STE 320
LAYTON, UT 84041-1172
Phone number: 801-773-4840
Mailing Address
AMANDA JACKSON
PO BOX 337
LAYTON, UT 84041-0337
Phone number: 801-773-4840