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Individual

DR. D. KIM OPENSHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., LCSW, LMFT

Contact information

Practice address
295 SCHIESS CT, LOGAN, UT 84321-6379
(435) 753-7332
(435) 797-7220
Mailing address
295 SCHIESS CT, LOGAN, UT 84321-6379
(435) 753-7332
(435) 797-7220

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114000-3501
UT
106H00000X
Marriage & Family Therapist
114000-3902
UT

Other

Enumeration date
11/20/2006
Last updated
09/13/2010
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