| NPI | 1124676739 |
|---|---|
| Doing Business As | WILLOW HAVEN COUNSELING - CAROLINA BROG, LCSW |
| Entity Type | Organization |
| Authorized Contact | ASHLEY CAROLINA BROG Member/Therapist 801-822-2109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |