Individual
WILLIAM HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6856 S 700 E, MIDVALE, UT 84047-1361
(888) 949-4864
Mailing address
3737 W 4100 S, WEST VALLEY CITY, UT 84120-5543
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F22-102464
UT
Other
Enumeration date
08/17/2022
Last updated
11/19/2025
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