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1164485215
JOHN KEVIN ENNISS
SALT LAKE CITY, UT
NPI
1164485215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 122189-3501)
Enumeration Date
2006-04-10
Last Update Date
2019-04-10
Business Address
Mr. JOHN KEVIN ENNISS LCSW
3195 S MAIN ST STE 180
SALT LAKE CITY, UT 84115-3790
Phone number: 801-867-7170
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Mailing Address
Mr. JOHN KEVIN ENNISS LCSW
6905 S 1300 E # 221
COTTONWOOD HEIGHTS, UT 84047-1817
Phone number: 801-867-7170
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