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1205577814
KENDRA LARSENE DAVIS
HYRUM, UT
NPI
1205577814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 134033003502)
Enumeration Date
2022-04-06
Last Update Date
2023-09-08
Business Address
KENDRA LARSENE DAVIS CSW
571 S 690 E
HYRUM, UT 84319-1788
Phone number: 385-216-2489
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Mailing Address
KENDRA LARSENE DAVIS CSW
571 S 690 E
HYRUM, UT 84319-1788
Phone number:
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