Individual
MRS. KIMBERLY JANE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
267 E TRAVERSEPOINT DR, DRAPER, UT 84020-5679
(801) 824-1328
Mailing address
2587 E OAK CREEK CIR, SANDY, UT 84093-6526
(801) 824-1328
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/25/2018
Last updated
09/11/2020
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