KENNETH SCAGGS

MAGNA, UT
NPI1720445877
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: UT  8430191-6005)
Enumeration Date2016-01-20
Last Update Date2016-01-20
Business Address
KENNETH SCAGGS
8265 W 2700 S
MAGNA, UT 84044-1323
Phone number: 801-250-9762
Mailing Address
KENNETH SCAGGS
8265 W 2700 S
MAGNA, UT 84044-1323
Phone number: 801-250-9762
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