Individual
KENYATTA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
377 MARSHALL WAY STE 1, LAYTON, UT 84041-7378
(801) 430-1280
(801) 747-6860
Mailing address
377 MARSHALL WAY STE 1, LAYTON, UT 84041-7378
(801) 430-1280
(801) 747-6860
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/20/2019
Last updated
11/27/2023
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