MEDICARE: MS. JENNIFER LAUREL ARNOW KRAEMER 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
1	1041C0700X	Clinical Social Worker	5918707-3502	UT

General Provider Information

NPI Number	:	1891759288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER LAUREL ARNOW KRAEMER LCSW

Provider Business Mailing Address
First Line	:	4190 S HIGHLAND DR
Second Line	:	SUITE 200
City	:	SLC
State	:	UT
Zip	:	84124-2600
Country	:	US
Telephone Number	:	385-282-3349
Fax Number	:	866-923-8389

Provider Business Practice Location Address
First Line	:	4190 S HIGHLAND DR
Second Line	:	SUITE 200
City	:	SLC
State	:	UT
Zip	:	84124-2600
Country	:	US
Telephone Number	:	385-282-3349
Fax Number	:	866-923-8389

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	12/31/2014

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