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:
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Health care specialties

SpecialtyCodeLicense #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 16 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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