Individual
RYAN BLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
833 EAST 9400 SOUTH, SANDY, UT 84094
(801) 566-2556
Mailing address
833 EAST 9400 SOUTH, SANDY, UT 84094
(801) 566-2556
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
8641614-3902
UT
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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