Individual
KINDRA GAYLE SEALY BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1525 N 200 W, LOGAN, UT 84341-2032
(435) 752-8880
(435) 752-8884
Mailing address
1082 E 100 S, LOGAN, UT 84321-4973
(435) 994-0754
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8595126-3501
UT
1041S0200X
School Social Worker
—
—
Other
Enumeration date
07/25/2012
Last updated
10/19/2018
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