Individual
MS. CAMILLE KENNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
537 E COBBLESTONE DR, MIDVALE, UT 84047-4602
(801) 397-4900
(801) 397-4959
Mailing address
537 E COBBLESTONE DR, MIDVALE, UT 84047-4602
(801) 397-4900
(801) 397-4959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
500958-3501
UT
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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