ASHLEY CAROLINA BROG

LOGAN, UT
NPI1053759985
Former NameASHLEY CAROLINA GRAHAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  8572468-3502)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: UT  8572468-3501)
Enumeration Date2013-06-13
Last Update Date2024-05-13
Business Address
ASHLEY CAROLINA BROG LCSW
75 W 100 S STE 200
LOGAN, UT 84321-5842
Phone number: 801-822-2109
Mailing Address
ASHLEY CAROLINA BROG LCSW
1934 N 1200 E
NORTH LOGAN, UT 84341-2006
Phone number: 801-822-2109