Individual
MS. KENWYN MAEVE DERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2655 S LAKE ERIE DR, WEST VALLEY CITY, UT 84120-7350
(801) 441-4900
Mailing address
882 E MILLBROOK WAY, BOUNTIFUL, UT 84010-2053
(415) 819-5530
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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