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1700181104
JENNIFER LYNNELL EAVES
SALT LAKE CITY, UT
NPI
1700181104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 3083466-3502)
Enumeration Date
2011-01-14
Last Update Date
2011-01-14
Business Address
-- JENNIFER LYNNELL EAVES CSW
2970 S MAIN ST SUITE NUMBER 100
SALT LAKE CITY, UT 84115-3553
Phone number: 801-746-5561
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Mailing Address
-- JENNIFER LYNNELL EAVES CSW
2777 W 5825 S
ROY, UT 84067-1155
Phone number:
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