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Individual
BLAKE BEECHER
Active
Individual
BLAKE BEECHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
349081-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107003582101
INTERMOUNTAIN HEALTH CARE
UT
01
—
682027
DESERET MUTUAL
UT
Enumeration date
01/11/2006
Last updated
07/13/2026
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