Jeanette P Vasquez, LCSW

NPI #1477735504 in Holladay, Utah

Provider Information

NPI Number: 1477735504
Entity Type: Individual
Name: Jeanette P Vasquez, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Nov 30, 2007
Last Updated: Jul 27, 2012

Practice Location

Address: 2180 E 4500 S
Address 2: UNIT #105
City: Holladay
State: Utah
ZIP Code: 84117-4434
Phone: (801) 680-4728

Specialties & Taxonomy Codes

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

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