ANDREA ELAINE JORGENSEN

LOGAN, UT
NPI1700339819
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: UT  9246477-4102)
Enumeration Date2016-07-26
Last Update Date2016-07-26
Business Address
-- ANDREA ELAINE JORGENSEN M.S.
1400 N 500 E
LOGAN, UT 84341-2455
Phone number: 435-716-1000
Mailing Address
-- ANDREA ELAINE JORGENSEN M.S.
309 E 700 N APT 2
LOGAN, UT 84321-3376
Phone number: 801-808-6287