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Individual

MRS. BREANA CELESTE PRITCHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
500 FOOTHILL DR, SLC, UT 84148-0001
(801) 582-1565
Mailing address
8325 GOLSE DR, BOISE, ID 83704-4458
(208) 863-7824

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
67715373502
UT

Other

Enumeration date
11/18/2006
Last updated
12/18/2008
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