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NPI Code Detail

MEDICARE: JANALYN DOLL GARRETT LCSW

MEDICARE:   JANALYN DOLL GARRETT  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1285200147
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANALYN DOLL GARRETT LCSW
Provider Business Mailing Address
First Line : 420 A ST
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84103-2537
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2725 E PARLEYS WAY STE 130
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84109-1658
Country : US
Telephone Number : 801-981-5825
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2021
Last Update Date : 06/01/2021

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Directions to “ JANALYN DOLL GARRETT LCSW” Practice Location

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