Individual
MRS. BREANNE PIXTON BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
9361 S 300 E, SANDY, UT 84070-2902
(801) 826-5000
Mailing address
788 E PARK MESA WAY, SANDY, UT 84094-5552
(801) 809-7530
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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