Individual
MR. KEVIN TAYLOR HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1225 E FORT UNION BLVD, SUITE 215, COTTONWOOD HEIGHTS, UT 84047-1889
(801) 233-2300
Mailing address
1225 E FORT UNION BLVD, SUITE 215, COTTONWOOD HEIGHTS, UT 84047-1889
(801) 233-2300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7459168-3501
UT
Other
Enumeration date
03/02/2012
Last updated
02/13/2017
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