# KENNETH L HENNEFER AND ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316261167
- **Authorized official:** KENNETH L HENNEFER LCSW, PHD (DIRECTOR)
- **Authorized official phone:** (801) 352-2844

## Contact information

- **Practice address:** 7321 S STATE ST, SUITE AB, MIDVALE, UT 84047-2055
- **Practice address phone:** (801) 352-2844
- **Practice address fax:** (801) 942-1973
- **Mailing address:** 7321 S STATE ST, SUITE AB, MIDVALE, UT 84047-2055
- **Mailing address phone:** (801) 352-2844
- **Mailing address fax:** (801) 942-1973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 03/23/2010
- **Last updated:** 06/12/2015
