Dominick Antonio Jefferies, MSW, CSW

NPI #1386966406 in Holladay, Utah

Provider Information

NPI Number: 1386966406
Entity Type: Individual
Name: Dominick Antonio Jefferies, MSW, CSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MSW, CSW
Enumeration Date: Feb 16, 2010
Last Updated: Feb 16, 2010

Practice Location

Address: 4609 S 2300 E
City: Holladay
State: Utah
ZIP Code: 84117-4527
Phone: (801) 461-9060

Specialties & Taxonomy Codes

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

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