Individual
KIRK HEATH MCDOUGAL-DEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1140 W 500 S STE 9, VERNAL, UT 84078-2912
(435) 789-6300
(435) 725-6325
Mailing address
1140 W 500 S STE 9, VERNAL, UT 84078-2912
(435) 789-6300
(435) 725-6325
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10986902-3502
UT
Other
Enumeration date
02/01/2018
Last updated
01/25/2021
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