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1053721399
BRIGHAM YOUNG
PROVO, UT
NPI
1053721399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 138479-3501)
Enumeration Date
2014-05-07
Last Update Date
2014-05-07
Business Address
-- BRIGHAM YOUNG
1190 N 900 E STE 204
PROVO, UT 84604-3536
Phone number: 801-422-7620
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Mailing Address
-- BRIGHAM YOUNG
1190 N 900 E STE 204
PROVO, UT 84604-3536
Phone number: 801-422-7620
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