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Search › Utah › 1041C0700X

Ejay Jack, LCSW

NPI 1306500590 · on the registry since 2021

Practice

Address
389 S 900 E
Salt Lake City, UT 84102
Phone
(385) 282-2500
Fax
(385) 282-2501
Organisation at this address
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
110

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
Licence states on file
MN, UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-10-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah