Shields, Jennifer Dawn

Shields, Jennifer Dawn is an individual health care provider with primary practice located at 1484 S 500 E , Kaysville UT 84037-3033. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Shields, Jennifer Dawn can be contacted via phone (801) 792-8272.

Contact Information

Primary practice address
1484 S 500 E Kaysville UT 84037-3033
Phone: (801) 792-8272
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 6654944-3502 Utah
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6654944-3501 Utah

Profile Details

NPI number 1821285529
LBN Legal business name Shields, Jennifer Dawn
Credentials M.S.W., C.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2007
Last updated Mar 24th, 2017 - about 9 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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