Individual
MRS. KELLY BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
537 W 2600 S, BOUNTIFUL, UT 84010-7779
(801) 901-7153
Mailing address
13923 S SUMMERSET CIR, DRAPER, UT 84020-8661
(801) 901-7153
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14153562-3502
UT
1041C0700X
Clinical Social Worker
Primary
14291545-3501
UT
Other
Enumeration date
09/13/2024
Last updated
07/08/2026
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