SHALISHA JESSUP

PROVO, UT
NPI1255887329
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2016-08-29
Last Update Date2016-08-29
Business Address
-- SHALISHA JESSUP
151 S UNIVERSITY AVE
PROVO, UT 84601-4427
Phone number: 801-851-7127
Mailing Address
-- SHALISHA JESSUP
151 S UNIVERSITY AVE
PROVO, UT 84601-4427
Phone number: