MR. EVAN KENISON, LCSW

Social Worker - Clinical

Active Individual
NPI: 1912977505

Practice Address

100 S 1000 W
Tooele, UT 84074

Phone: (435) 843-3520

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 3099283501 (UT)

Frequently Asked Questions

NPI 1912977505 is the National Provider Identifier for MR. EVAN KENISON, LCSW, a Social Worker - Clinical provider located in Tooele, UT. This NPI was enumerated on January 25, 2006.
MR. EVAN KENISON, LCSW practices at 100 S 1000 W, Tooele, UT 84074.

Quick Facts

NPI
1912977505
Type
Individual
Enumerated
Jan 25, 2006
Last Updated
Aug 8, 2019

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