SHANNON BLEWETT

PROVO, UT
NPI1194103945
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-05-13
Last Update Date2015-05-13
Business Address
-- SHANNON BLEWETT
151 S UNIVERSITY AVE SUITE 3200
PROVO, UT 84601-4427
Phone number: 801-851-7127
Mailing Address
-- SHANNON BLEWETT
151 S UNIVERSITY AVE SUITE 3200
PROVO, UT 84601-4427
Phone number: 801-851-7127
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