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Individual

KYLIE DAWN BRECHLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
117 W 400 S, SALT LAKE CITY, UT 84101-1916
(801) 428-4257
Mailing address
117 W 400 S, SALT LAKE CITY, UT 84101-1916
(801) 428-4257

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
172V00000X
Community Health Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8760003008007
UT
Enumeration date
10/06/2017
Last updated
05/21/2025
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