Individual
KYLEE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
501 CHIPTA WAY, SALT LAKE CITY, UT 84108
(435) 200-3458
Mailing address
32 W 200 S # 233, SLC, UT 84101-1603
(435) 200-3458
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10895067-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10895067-3501
NASW
UT
Enumeration date
01/09/2022
Last updated
05/02/2023
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