Individual
AMY KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
272 E 12200 S STE 200, DRAPER, UT 84020-7833
(801) 890-0314
Mailing address
272 E 12200 S STE 200, DRAPER, UT 84020-7833
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10436551-3502
UT
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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