Individual
KIMBERLY BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1031 S BLUFF ST STE 214, ST GEORGE, UT 84770-5206
(801) 830-0349
Mailing address
1031 S BLUFF ST STE 214, ST GEORGE, UT 84770-5206
(801) 830-0349
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9797033-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8717635
—
UT
Enumeration date
10/02/2014
Last updated
10/17/2023
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