Individual
KENNEDY GANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 773-7060
Mailing address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 773-7060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9818000-3502
UT
Other
Enumeration date
07/18/2014
Last updated
04/27/2018
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