JACOB KENISON

HOLLADAY, UT
NPI1245921956
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
Enumeration Date2023-05-15
Last Update Date2023-05-15
Business Address
JACOB KENISON
2046 E MURRAY HOLLADAY RD STE 101
HOLLADAY, UT 84117-5173
Phone number: 801-980-2566
Mailing Address
JACOB KENISON
5111 S 4620 W
KEARNS, UT 84118-5701
Phone number: 917-562-6141