Individual
KENNETH HAROLD HICKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1050 E SOUTH TEMPLE, SALT LAKE CITY, UT 84102-1507
(801) 350-8214
Mailing address
1188 W 12400 S, RIVERTON, UT 84065-7015
(801) 897-1144
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
141265-3501
UT
Other
Enumeration date
11/11/2018
Last updated
11/11/2018
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