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Individual

DAVID HOWARTH BLACKWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LSAC

Contact information

Practice address
11188 N 6000 W, HIGHLAND, UT 84003-9438
(801) 756-7403
Mailing address
11188 N 6000 W, HIGHLAND, UT 84003-9438
(801) 756-7403

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
342505-6004
UT

Other

Enumeration date
05/02/2007
Last updated
07/08/2007
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