Individual
KAITLIN KINGDON HENINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-5000
Mailing address
8577 TRAILS DR, PARK CITY, UT 84098-5849
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10405055-3502
UT
1041S0200X
School Social Worker
Primary
—
UT
Other
Enumeration date
07/06/2017
Last updated
05/16/2022
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