Individual
MR. KYLE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
740 E 9000 S STE A, SANDY, UT 84094-3077
(801) 432-7696
Mailing address
3049 E BONNIE BRAE AVE, SALT LAKE CITY, UT 84124-3016
(385) 244-8050
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
13050151-3501
UT
Other
Enumeration date
02/09/2023
Last updated
06/24/2025
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