Individual
MR. MICHAEL EVAN BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
90 NORTH MAIN, STERLING, UT 84665
(435) 703-0756
Mailing address
387 EAST 450 SOUTH, MANTI, UT 84642
(143) 570-3075
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1157703902
UT
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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