MARK BRIAN ANDERSON

LOGAN, UT
NPI1194252619
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  8238610-3501)
Enumeration Date2017-05-15
Last Update Date2022-07-21
Business Address
-- MARK BRIAN ANDERSON LCSW
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
Mailing Address
-- MARK BRIAN ANDERSON LCSW
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750