KENNETH LAKE HENNEFER

MIDVALE, UT
NPI1538207154
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: UT  116860-3501)
Enumeration Date2007-02-03
Last Update Date2007-07-08
Business Address
-- KENNETH LAKE HENNEFER lcsw
7321 S STATE ST STE A-B
MIDVALE, UT 84047-2055
Phone number: 801-352-2844
Mailing Address
-- KENNETH LAKE HENNEFER lcsw
3231 MCNEILL CIR
SANDY, UT 84093-2136
Phone number: 801-942-1973
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