Individual
KENNEDY KATHERINE STOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13222 TREE SPARROW DR STE R210, RIVERTON, UT 84096-2889
(801) 872-5516
Mailing address
15129 S HALTER WAY, BLUFFDALE, UT 84065-1887
(801) 830-2025
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12855407-3501
UT
Other
Enumeration date
08/12/2020
Last updated
12/31/2024
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