Individual
KELSEY CAROLINE FENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
965 S 100 W STE 106, LOGAN, UT 84321-6067
(435) 554-1119
Mailing address
965 S 100 W STE 106, LOGAN, UT 84321-6067
(435) 554-1119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9512633-3501
UT
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/29/2014
Last updated
06/09/2025
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