Individual
MRS. BROOKE L THURGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 S 700 E STE 2A, SLC, UT 84102-2855
(801) 935-4171
Mailing address
2148 S TEXAS ST, SLC, UT 84109-1305
(801) 644-1188
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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