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Individual

KASSIDY CAMPBELL MAHOSKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5677 S 1475 E STE 4A, SOUTH OGDEN, UT 84403-7003
(385) 222-3737
Mailing address
PO BOX 9519, OGDEN, UT 84409-0519
(801) 689-1626
(801) 475-7322

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9413924-3501
UT
101YP2500X
Professional Counselor
Primary
9413924-3501
UT

Other

Enumeration date
06/14/2017
Last updated
03/19/2024
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