CRAIG ALLRED BLEAK

PROVO, UT
NPI1356442982
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  5117731-3502)
Enumeration Date2006-09-26
Last Update Date2007-07-08
Business Address
-- CRAIG ALLRED BLEAK CSW
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Mailing Address
-- CRAIG ALLRED BLEAK CSW
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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