Individual
KENZIE WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(888) 949-4864
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13509698-3502
UT
104100000X
Social Worker
—
—
Other
Enumeration date
08/18/2022
Last updated
09/09/2024
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