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NPI Code Detail

MEDICARE: ALESHIA C JEX CSW

MEDICARE: ALESHIA C JEX CSW
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
1390200000XStudent in an Organized Health Care Education/Training ProgramUT
2104100000XSocial WorkerUT
3225800000XRecreation Therapist10534767-4002UT

General Provider Information

NPI Number : 1396421418
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALESHIA C JEX CSW
Provider Business Mailing Address
First Line : 2660 E 2900 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84109-1843
Country : US
Telephone Number : 801-232-4482
Fax Number :
Provider Business Practice Location Address
First Line : 9844 S 1300 E STE 250
Second Line :
City : SANDY
State : UT
Zip : 84094-4691
Country : US
Telephone Number : 801-810-5037
Fax Number : 801-893-2635
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2023
Last Update Date : 03/03/2026

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Directions to “ ALESHIA C JEX CSW” Practice Location

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