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1023312683
FREDERICK BREWER
PROVO, UT
NPI
1023312683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 7738832-3501)
Enumeration Date
2010-12-22
Last Update Date
2013-09-17
Business Address
-- FREDERICK BREWER LCSW
750 N FREEDOM BLVD SUITE 108
PROVO, UT 84601-1677
Phone number: 801-373-7394
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Mailing Address
-- FREDERICK BREWER LCSW
750 N FREEDOM BLVD SUITE 108
PROVO, UT 84601-1677
Phone number: 801-373-7394
Copy
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