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John Penrod, CSW

NPI 1861049868 · on the registry since 2019

Practice

Address
1459 N Main St # 100
Bountiful, UT 84010
Phone
(801) 298-2000
Clinicians at this address
4

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-08-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah