Individual
BRENDA EATHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
10619 S JORDAN GTWY STE 205, SUITE 205, SOUTH JORDAN, UT 84095-3969
(801) 264-0213
Mailing address
10619 S JORDAN GTWY STE 205, SOUTH JORDAN, UT 84095-3969
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3503
UT
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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