Individual
RYAN BENNION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
500 FOOTHIL DRIVE, SALT LAKE CITY, UT 84148-1700
(801) 582-1565
Mailing address
10852 PINE SHADOW RD, SOUTH JORDAN, UT 84095-3951
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7440992-3501
UT
Other
Enumeration date
06/17/2010
Last updated
10/15/2024
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