| NPI | 1508549957 |
|---|---|
| Former Legal Business Name | KELSEY FENTON THERAPY LLC. |
| Entity Type | Organization |
| Authorized Contact | KELSEY CAROLINE FENTON Owner 801-828-7594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2023-08-11 |