BLAINE KEATON DAIMARU

SOUTH JORDAN, UT
NPI1124751441
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: UT  11302959-3501)
Enumeration Date2022-07-05
Last Update Date2022-07-05
Business Address
BLAINE KEATON DAIMARU LCSW
11260 S RIVER HEIGHTS DR
SOUTH JORDAN, UT 84095-5119
Phone number: 801-298-2000
Mailing Address
BLAINE KEATON DAIMARU LCSW
11260 S RIVER HEIGHTS DR
SOUTH JORDAN, UT 84095-5119
Phone number: 801-298-2000
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