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Organization
SECOND NATURE ENTRADA
Active
Organization
SECOND NATURE ENTRADA
Active
Other names
Evoke at Entrada
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL BRAMLET (OFFICE MANAGER)
(435) 229-5395
Entity
Organization
Contact information
Practice address
2711 SANTA CLARA DR STE 400, SANTA CLARA, UT 84765-5480
(435) 674-9310
(435) 674-9309
Mailing address
2711 SANTA CLARA DR STE 400, SANTA CLARA, UT 84765-5480
(435) 674-9310
(435) 674-9309
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9190382-3501
UT
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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