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Contact Information

JACLYN ANDERSEN, CSW
380 W 1400 N
LOGAN, UT84341-6813
 Phone: 435-752-8880
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for JACLYN ANDERSEN · (Female)

NPI # 1982992798
Status Active
Credentials CSW
Entity Individual
Enumeration date 07/13/2011
Last updated 07/13/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 77503153502
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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