BRECK SOUVALL

SALT LAKE CITY, UT
NPI1467926071
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2019-01-16
Last Update Date2019-06-12
Business Address
BRECK SOUVALL
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864
Mailing Address
BRECK SOUVALL
7434 S STATE ST
MIDVALE, UT 84047-2014
Phone number: 801-456-9955
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