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1235694001
FRED BROOKS
BOUNTIFUL, UT
NPI
1235694001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: UT 692921)
Enumeration Date
2019-02-06
Last Update Date
2019-02-06
Business Address
FRED BROOKS M.Ed; Ed.S
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010-8905
Phone number: 801-683-1062
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Mailing Address
FRED BROOKS M.Ed; Ed.S
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010-8905
Phone number: 801-683-1062
Copy
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