Tyler Scott Jenson CSW

NPI 1972696748 - Social Worker - 104100000X

NPI Details
NPI 1972696748
Gender Male
Enumeration Date 10/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
750 N FREEDOM BLVD
PROVO UT, 84601-1677, US
Phone (801) 373-4760
Fax
Business Location
750 N FREEDOM BLVD
PROVO UT, 84601-1677, US
Phone (801) 373-4760
Fax
Toxanomy
Taxonomy Code 104100000X
License State Utah
License Number 5990296-3502
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According to our database, Tyler Scott Jenson CSW NPI is 1972696748, taxonomy code is 104100000X and license number is 5990296-3502, license state is located at Utah. Tyler Scott Jenson CSW physically located at 750 N Freedom Blvd, Provo UT, 84601-1677. NPI Number Tyler Scott Jenson CSW has the Individual type.

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1972696748 NPI number is provided on an as is basis without warranty of any kind. 1972696748 is maintained by the National Plan & Provider Enumeration System. The contents of Tyler Scott Jenson CSW are for informational purposes only.