Individual
KIMBERLY ANN FORSYTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9361 S 300 E, SANDY, UT 84070-2902
(801) 826-5000
Mailing address
2006 E GYRFALCON DR, SANDY, UT 84092-4059
(801) 891-7402
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4845924-3501
UT
1041S0200X
School Social Worker
—
—
Other
Enumeration date
03/27/2009
Last updated
05/27/2022
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