Individual
KENDALL MANWILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2975 W EXECUTIVE PKWY STE 277, LEHI, UT 84043-9642
(310) 774-1889
Mailing address
1440 E 140 S, PLEASANT GROVE, UT 84062-3048
(310) 774-1889
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11065177-3501
UT
Other
Enumeration date
11/30/2021
Last updated
06/10/2024
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