Individual
KENTON JEPSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW-I
Contact information
Practice address
248 E 13800 S STE 4, DRAPER, UT 84020-5011
(801) 816-1801
Mailing address
463 MILLCREEK RD, PLEASANT GROVE, UT 84062-8814
(760) 207-4752
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12324757-3502
UT
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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