RUSSELL ALLAN PRYOR

SYRACUSE, UT
NPI1144528357
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  318362-3501)
Enumeration Date2011-03-11
Last Update Date2011-03-11
Business Address
Mr. RUSSELL ALLAN PRYOR LCSW
3558 BROOKSHIRE DR
SYRACUSE, UT 84075-9829
Phone number: 801-718-2889
Mailing Address
Mr. RUSSELL ALLAN PRYOR LCSW
3558 BROOKSHIRE DR
SYRACUSE, UT 84075-9829
Phone number: 801-718-2889