Individual
KENDRA LARSENE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
571 S 690 E, HYRUM, UT 84319-1788
(385) 216-2489
Mailing address
571 S 690 E, HYRUM, UT 84319-1788
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
134033003502
UT
Other
Enumeration date
04/06/2022
Last updated
09/08/2023
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