DAVID BLAINE JENSEN

RICHFIELD, UT
NPI1306986013
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  1415763501)
Enumeration Date2007-02-08
Last Update Date2018-10-29
Business Address
Mr. DAVID BLAINE JENSEN LCSW
991 S 100 E
RICHFIELD, UT 84701-7030
Phone number: 435-201-9228
Mailing Address
Mr. DAVID BLAINE JENSEN LCSW
771 N MAIN ST
CENTRAL VALLEY, UT 84754-3119
Phone number: 435-201-9228
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