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Individual

MR. KEITH TIMOTHY EINFELDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
115 N MAIN ST STE 204, CEDAR CITY, UT 84720-2674
(435) 865-1188
Mailing address
23 S COVE DR, CEDAR CITY, UT 84720-8229
(435) 865-1188

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
271304-3501
UT

Other

Enumeration date
01/02/2007
Last updated
07/09/2007
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