KEVIN THERIOT

SALT LAKE CITY, UT
NPI1235229741
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AZ  LCSW -0065)
Enumeration Date2006-10-13
Last Update Date2011-02-18
Business Address
-- KEVIN THERIOT Ph.D.
132 S STATE ST
SALT LAKE CITY, UT 84111-1506
Phone number: 801-240-2429
Mailing Address
-- KEVIN THERIOT Ph.D.
9433 SUNSET RIDGE DR
SANDY, UT 84092-2505
Phone number: 801-432-7049
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