MR. Michael D Jensen, LCSW BCD

NPI #1124230115 in Manti, Utah

Provider Information

NPI Number
1124230115
Entity Type
Individual
Name
MR. Michael D Jensen, LCSW BCD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW BCD
Enumeration Date
May 4, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
50 SOUTH MAIN
Address 2
# 25
City
Manti
State
Utah
ZIP Code
84642
Phone
(435) 528-7048

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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