Individual
CATHERINE BLAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5284 S COMMERCE DR, SUITE C-134, SALT LAKE CITY, UT 84107-7930
(801) 266-4643
Mailing address
2148 S ONEIDA ST, SLC, UT 84109-1121
(801) 699-7036
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/31/2016
Last updated
05/08/2017
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