BRAHM ALEXANDER GORDON

LAYTON, UT
NPI1659558658
Professional NameXANDER GORDON
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: UT  5503536-3503)
Additional Taxonomies104100000X Social Worker
(Licence: UT  5503536-3503)
Enumeration Date2008-01-22
Last Update Date2008-01-22
Business Address
-- BRAHM ALEXANDER GORDON SSW
934 S MAIN ST
LAYTON, UT 84041-4250
Phone number: 801-546-1168
Mailing Address
-- BRAHM ALEXANDER GORDON SSW
PO BOX 460
BOUNTIFUL, UT 84011-0460
Phone number: 801-298-3446