BRUCE CRAIG POULSEN

TAYLORSVILLE, UT
NPI1376669085
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: UT  4849539-2501)
Enumeration Date2007-03-22
Last Update Date2007-07-08
Business Address
-- BRUCE CRAIG POULSEN PhD
5770 S 1500 W
TAYLORSVILLE, UT 84123-5216
Phone number: 801-265-3031
Mailing Address
-- BRUCE CRAIG POULSEN PhD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-442-1400
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