Jaclyn Andersen, CSW

NPI #1982992798 in Logan, Utah

Provider Information

NPI Number: 1982992798
Entity Type: Individual
Name: Jaclyn Andersen, CSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: CSW
Enumeration Date: Jul 13, 2011
Last Updated: Jul 13, 2011

Practice Location

Address: 380 W 1400 N
City: Logan
State: Utah
ZIP Code: 84341-6813
Phone: (435) 752-8880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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