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Contact Information

KELLAND J BREWER, CSW
46 E. 300 N.
MOAB, UT84532
 Phone: 435-259-6131
 Fax: 435-259-5369
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for KELLAND J BREWER · (Male)

NPI Number 1750869863
Status Active
Credentials CSW
Entity Individual
Enumeration date 07/31/2018
Last updated 08/18/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 10834446-3501
  • UT License # 10834446-3502
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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