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Individual

KENNETH JOEL ALLRED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2250 ROBINS DR, LAYTON, UT 84041-1140
(801) 773-7060
(801) 774-6100
Mailing address
PO BOX 689, FARMINGTON, UT 84025-0689
(801) 451-7799
(801) 451-6331

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
197117-3503
UT
1041C0700X
Clinical Social Worker
Primary
197117-3501
UT
164W00000X
Licensed Practical Nurse
197117-3101
UT

Other

Enumeration date
07/25/2006
Last updated
10/24/2013
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