REX CRAIG BROADBENT

SALT LAKE CITY, UT
NPI1467753434
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT  6888110-6005)
Enumeration Date2010-11-08
Last Update Date2010-11-08
Business Address
Mr. REX CRAIG BROADBENT CSAC
411 GRANT ST
SALT LAKE CITY, UT 84116-2725
Phone number: 801-359-8862
Mailing Address
Mr. REX CRAIG BROADBENT CSAC
411 GRANT ST
SALT LAKE CITY, UT 84116-2725
Phone number: 801-359-8862
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