Individual
MR. KENT TAYLOR ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2319 FOOTHILL DR, SUITE 240, SALT LAKE CITY, UT 84109-1489
(801) 463-2425
Mailing address
2319 FOOTHILL DR, SUITE 240, SALT LAKE CITY, UT 84109-1489
(801) 463-2425
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
49594473501
UT
Other
Enumeration date
01/12/2007
Last updated
11/05/2007
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