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Individual

KAYLEEN SAVAGE DAVIDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
344 E 100 S STE 301, SLC, UT 84111-1727
(801) 322-4257
Mailing address
524 WALTON DR, NORTH SALT LAKE, UT 84054-6096
(801) 792-1062

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7721177-3502
UT

Other

Enumeration date
04/25/2011
Last updated
04/25/2011
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