Individual
GINA BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8606 N 11600 W, THATCHER, UT 84337-9103
(435) 854-7295
Mailing address
58 S 950 W, BRIGHAM CITY, UT 84302-4424
(435) 538-5061
(435) 538-5066
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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