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1568946911
SHANI LEE JENSEN
LOGAN, UT
NPI
1568946911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 378278-3501)
Enumeration Date
2018-09-21
Last Update Date
2018-10-17
Business Address
SHANI LEE JENSEN LCSW
580 N MAIN ST STE 250-D
LOGAN, UT 84321-3994
Phone number: 435-890-0198
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Mailing Address
SHANI LEE JENSEN LCSW
580 N MAIN ST STE 250-D
LOGAN, UT 84321-3994
Phone number: 435-890-0198
Copy
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