Jessica Xaiz Mann | Cottonwood Heights, UT • PECOS Search

Jessica Xaiz Mann

Social Worker

Behavioral Health & Social Service Providers

6850 S 1495 E, Cottonwood Heights, UT 84121-2728

PECOS Enrollment

Based on the most recent information from CMS, provider Jessica Xaiz Mann does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1326276122
Provider Type
Individual
Full Name
Mann, Jessica Xaiz
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
6/30/2009
Last Updated
5/7/2014

Contact Information

Practice Location

6850 S 1495 E, Cottonwood Heights, UT 84121-2728

Unlisted Fax

Mailing Location

6850 S 1495 E, Cottonwood Heights, UT 84121-2728

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 7390666-3502 Utah