Individual
BRAXTON KAZIMIERZ CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7434 S STATE ST, MIDVALE, UT 84047-2014
(801) 456-9954
Mailing address
7434 S STATE ST, MIDVALE, UT 84047-2014
(801) 456-9954
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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