Shalisha Jessup
Shalisha Jessup is a Clinical Social Worker in Provo, Utah. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
151 S University AveProvo, UT 84601-4427
Phone: (801) 851-7127
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1255887329 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 29, 2016 |
| Last updated in NPPES | August 29, 2016 |
| Mailing address | 151 S University Ave, Provo, UT 84601-4427 |
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