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Search › Utah › 104100000X

Annalisa Blackham

NPI 1932416963 · on the registry since 2010

Practice

Address
3392 W 3500 S
West Valley City, UT 84119
Phone
(801) 969-3307
Organisation at this address
Youth Support Systems
Youth Support Systems, Inc.
Wasatch Youth Support Systems
Wasatch Youth Support Systems
Wasatch Youth Support Systems
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
104100000X
104100000X
Sex
Female
Record last updated
2010-09-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah