Jefferies, Dominick Antonio

Jefferies, Dominick Antonio is an sole proprietor health care provider with primary practice located at 4609 S 2300 E , Holladay UT 84117-4527. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jefferies, Dominick Antonio can be contacted via phone (801) 461-9060.

Contact Information

Primary practice address
4609 S 2300 E Holladay UT 84117-4527
Phone: (801) 461-9060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 324500-3502 Utah

Profile Details

NPI number 1386966406
LBN Legal business name Jefferies, Dominick Antonio
Credentials MSW, CSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2010
Last updated Feb 16th, 2010 - about 15 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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