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Individual

HEATH LOGAN BRAZIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1493 CAMBRIDGE ST RM 239, CAMBRIDGE, MA 02139-1099
(617) 575-5399
Mailing address
701 E 2ND AVE APT B, SALT LAKE CITY, UT 84103-3681
(870) 654-3844

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary

Other

Enumeration date
04/04/2024
Last updated
03/31/2026
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