Individual
KYLIN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1558 N 550 W, CLINTON, UT 84015-9506
(801) 927-7078
Mailing address
6013 S REDWOOD RD, TAYLORSVILLE, UT 84123-5220
(801) 255-5131
(801) 255-5131
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
235Z00000X
Speech-Language Pathologist
Primary
12730379-4104
UT
Other
Enumeration date
04/13/2016
Last updated
05/31/2022
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