BRAELEE BERGON

LOGAN, UT
NPI1700456852
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: UT  12338791-3503)
Enumeration Date2021-06-30
Last Update Date2021-06-30
Business Address
BRAELEE BERGON
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
Mailing Address
BRAELEE BERGON
53 W 1150 N APT 2
LOGAN, UT 84341-6858
Phone number: 801-870-3225
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