Individual
BREANNA L ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
195 N 1950 W, SALT LAKE CITY, UT 84116-3100
(801) 538-4001
Mailing address
195 N 1950 W, SALT LAKE CITY, UT 84116-3100
(801) 538-4001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10626392-3503
UT
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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