Individual
BLAKE TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2621 S 3270 W, WEST VALLEY CITY, UT 84119-1119
(801) 412-6920
(801) 982-9232
Mailing address
1030 UNIVERSITY VLG, SALT LAKE CITY, UT 84108-3452
(435) 232-8363
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
11256817-3502
UT
Other
Enumeration date
08/20/2018
Last updated
06/09/2019
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