Provider Demographics
NPI:1457577546
Name:JEFFERY, ARTHUR ALMA (MSW)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:ALMA
Last Name:JEFFERY
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 W 1560 N
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84057-2641
Mailing Address - Country:US
Mailing Address - Phone:801-226-2360
Mailing Address - Fax:
Practice Address - Street 1:411 W 1560 N
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84057-2641
Practice Address - Country:US
Practice Address - Phone:801-226-2360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT137955-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical