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1043635097
JOSHUA BRAVO
SALT LAKE CITY, UT
NPI
1043635097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 7113178-3501)
Enumeration Date
2014-02-27
Last Update Date
2019-05-24
Business Address
JOSHUA BRAVO LCSW
1380 S MAIN ST
SALT LAKE CITY, UT 84115-5336
Phone number: 801-573-6323
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Mailing Address
JOSHUA BRAVO LCSW
PO BOX 1078
SALT LAKE CITY, UT 84110-1078
Phone number: 801-573-6323
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