JEFFREY BRECKENRIDGE

PROVO, UT
NPI1649895954
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  8911450)
Enumeration Date2020-06-11
Last Update Date2025-11-26
Business Address
JEFFREY BRECKENRIDGE CSW
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 476-080-1373
Mailing Address
JEFFREY BRECKENRIDGE CSW
743 E 1060 S
SPRINGVILLE, UT 84663-2867
Phone number: 801-472-1082
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