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Individual

KRISTY DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SSW

Contact information

Practice address
12447 S CROSSING DR STE 13, RIVERTON, UT 84096-7020
(801) 984-0184
Mailing address
11091 N 5550 W, HIGHLAND, UT 84003-9577
(801) 494-9431

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6771454-3503
UT
171M00000X
Case Manager/Care Coordinator
6771454-3503
UT

Other

Enumeration date
05/25/2024
Last updated
05/25/2024
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