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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACLYN RANDOLPH

Active Sole Proprietor

JACLYN RANDOLPH is a Clinical Social Worker healthcare provider located in KAYSVILLE, Utah. NPI 1417610189 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · KAYSVILLE, UT

Registration Details

NPI Number
1417610189
Provider Type
Individual
Gender
Female
NPI Issued
Oct 19, 2021 (4.8049419807779 yrs)
Last Updated
Oct 19, 2021
Sole Proprietor
Yes

Practice Information

Address
375 N MAIN ST
KAYSVILLE, UT, 840371199
Browse UT providers · Browse ZIP 84037
Phone
8018441615
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in KAYSVILLE, UT

Name Credential NPI
MR. BERNARD GEORGE VETTER MSW DCSW BCD LCSW 1285618561
DEBORAH GOLD LCSW, MSW 1972518827
MATTHEW LOVELAND LCSW 1326054222
MRS. JENNIFER DAWN SHIELDS M.S.W., C.S.W. 1821285529
STORIE STINGER LCSW 1740519149
MRS. RACHAEL ANNE JASPERSON LCSW 1346548906
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.