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Contact Information

JEREMY BOBERG
2590 E PRAIRIE VIEW DR
EAGLE MOUNTAIN, UT84005-6096
 Phone: 801-634-8938
 Fax: 801-766-1940
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JEREMY BOBERG · (Female)

NPI Number 1942666870
Status Active
Credentials
Entity Individual
Enumeration date 01/07/2016
Last updated 01/07/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 5829317-3501
  • UT License # 5829317-6008
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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