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1982992798
JACLYN ANDERSEN
LOGAN, UT
NPI
1982992798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: UT 77503153502)
Enumeration Date
2011-07-13
Last Update Date
2011-07-13
Business Address
-- JACLYN ANDERSEN CSW
380 W 1400 N
LOGAN, UT 84341-6813
Phone number: 435-752-8880
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Mailing Address
-- JACLYN ANDERSEN CSW
297 W 1000 N
LOGAN, UT 84321-2239
Phone number: 435-757-0917
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