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NPI Code Detail

MEDICARE: AURORA C JENSON LCSW

MEDICARE: AURORA C JENSON 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
1104100000XSocial Worker7082877-3502UT
21041C0700XClinical Social Worker7082877-3501UT

General Provider Information

NPI Number : 1700037652
Entity Type Code : Individual
Provider Name (Legal Business Name) : AURORA C JENSON LCSW
Provider Business Mailing Address
First Line : PO BOX 572070
Second Line :
City : MURRAY
State : UT
Zip : 84157-2070
Country : US
Telephone Number : 801-263-7138
Fax Number :
Provider Business Practice Location Address
First Line : 1020 S MAIN ST STE 100
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84101-3194
Country : US
Telephone Number : 888-949-4864
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2008
Last Update Date : 08/30/2024

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Directions to “ AURORA C JENSON LCSW” Practice Location

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