Individual
KIMBERLY ANN PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
836 S MAIN ST, LAYTON, UT 84041-7117
(801) 497-0204
Mailing address
5191 W 4525 S, HOOPER, UT 84315-9696
(801) 497-0204
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
52939803502
UT
Other
Enumeration date
12/29/2006
Last updated
02/27/2008
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