MR. Kyle Hansen Goudie, LCSW

NPI #1295857266 in Draper, Utah

Provider Information

NPI Number: 1295857266
Entity Type: Individual
Name: MR. Kyle Hansen Goudie, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Apr 3, 2007
Last Updated: Jul 14, 2009

Practice Location

Address: 11451 S 700 E
Address 2: SUITE E
City: Draper
State: Utah
ZIP Code: 84020-8204
Phone: (801) 330-6324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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