Individual
MR. KENNETH BRUCE FOLSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1466 N HIGHWAY 89, FARMINGTON, UT 84025-2738
(801) 451-0475
Mailing address
1745 RAMSGATE RD, FARMINGTON, UT 84025-4223
(801) 451-7378
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
110215
UT
Other
Enumeration date
05/05/2007
Last updated
07/08/2007
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