Individual
KEVAN ANTHONY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
433 S 500 E, AMERICAN FORK, UT 84003-2527
(801) 216-8000
Mailing address
433 S 500 E, AMERICAN FORK, UT 84003-2527
(801) 216-8000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/31/2015
Last updated
04/26/2023
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