Blackham, Annalisa

Blackham, Annalisa is an individual health care provider with primary practice located at 3392 W 3500 S , West Valley City UT 84119-2630. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Blackham, Annalisa can be contacted via phone (801) 969-3307.

Contact Information

Primary practice address
3392 W 3500 S West Valley City UT 84119-2630
Phone: (801) 969-3307
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1932416963
LBN Legal business name Blackham, Annalisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2010
Last updated Sep 13th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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