Individual
BRENDA STURDEVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
59 N. 200 E., MOAB, UT 84532
(435) 259-7340
(435) 678-3116
Mailing address
P.O. BOX 867, PRICE, UT 84501-0867
(435) 637-7200
(435) 678-3116
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9753121-3503
UT
171M00000X
Case Manager/Care Coordinator
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
03/07/2013
Last updated
07/19/2021
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