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Organization
KINTSUGI HEALING
Active
Organization
KINTSUGI HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRA TADEHARA MSW, LCSW (OWNER/CLINICIAN)
(801) 917-4656
Entity
Organization
Contact information
Practice address
298 24TH ST STE 345A, OGDEN, UT 84401-1431
(801) 917-4656
Mailing address
298 24TH ST STE 345A, OGDEN, UT 84401-1431
(801) 917-4656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
Other
Enumeration date
10/15/2026
Last updated
10/15/2026
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