Individual
KELLAND JAY BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
46 E. 300 N., MOAB, UT 84532
(435) 259-6131
(435) 259-5369
Mailing address
PO BOX 867, PRICE, UT 84501-0867
(435) 637-7200
(435) 637-2377
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10834446-3502
UT
1041C0700X
Clinical Social Worker
Primary
10834446-3501
UT
Other
Enumeration date
07/31/2018
Last updated
08/18/2022
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