Individual
MR. KIP T RISHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
5250 COMMERCE DR, STE 190, MURRAY, UT 84107-7926
(801) 577-4065
Mailing address
931 GOLDEN PHEASANT DR, DRAPER, UT 84020-8462
(801) 577-4065
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5462356-3502
UT
Other
Enumeration date
05/29/2011
Last updated
05/29/2011
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