EVAN T KENISON

TOOELE, UT
NPI1912977505
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  3099283501)
Enumeration Date2006-01-25
Last Update Date2019-08-08
Business Address
Mr. EVAN T KENISON LCSW
100 S 1000 W
TOOELE, UT 84074-4010
Phone number: 435-843-3520
Mailing Address
Mr. EVAN T KENISON LCSW
PO BOX 751
TOOELE, UT 84074-0751
Phone number: 435-850-2547
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