JACOB BRUSHABER-DROCKTON

SALT LAKE CITY, UT
NPI1235785452
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
Enumeration Date2019-08-13
Last Update Date2019-08-13
Business Address
JACOB BRUSHABER-DROCKTON
350 S 400 E
SALT LAKE CITY, UT 84111-2905
Phone number: 801-582-5534
Mailing Address
JACOB BRUSHABER-DROCKTON
350 S 400 E
SALT LAKE CITY, UT 84111-2905
Phone number: 801-582-5534