Graham, Jacqueline Renee
Graham, Jacqueline Renee is an individual health care provider with primary practice located at 124 S 400 E Suite 450, Salt Lake City UT 84111-2135. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Graham, Jacqueline Renee can be contacted via phone (801) 326-7444.Contact Information
Primary practice address
124 S 400 E Suite 450
Salt Lake City UT 84111-2135
Phone: (801) 326-7444
Fax: (801) 783-5559
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2089903502 | Utah |
Profile Details
NPI number | 1316916059 |
---|---|
LBN Legal business name | Graham, Jacqueline Renee |
Credentials | Certified Social Worker (CSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 15th, 2006 |
Last updated | Sep 27th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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