Individual
KEVIN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
370 E 200 S, NEPHI, UT 84648-1922
(435) 660-9406
Mailing address
370 E 200 S, NEPHI, UT 84648-1922
(435) 660-9406
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9173920-3501
UT
Other
Enumeration date
04/01/2017
Last updated
04/01/2017
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