MR. David Blaine Jensen, LCSW

NPI #1306986013 in Richfield, Utah

Provider Information

NPI Number: 1306986013
Entity Type: Individual
Name: MR. David Blaine Jensen, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Feb 8, 2007
Last Updated: Oct 29, 2018

Practice Location

Address: 991 S 100 E
City: Richfield
State: Utah
ZIP Code: 84701-7030
Phone: (435) 201-9228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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