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1396085486
BRAD KELSTROM
LOGAN, UT
NPI
1396085486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 7731529-3501)
Enumeration Date
2013-02-26
Last Update Date
2013-02-26
Business Address
Mr. BRAD KELSTROM LCSW
40 W CACHE VALLEY BLVD STE 10A
LOGAN, UT 84341-8450
Phone number: 435-787-2272
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Mailing Address
Mr. BRAD KELSTROM LCSW
40 W CACHE VALLEY BLVD STE 10A
LOGAN, UT 84341-8450
Phone number: 435-787-2272
Copy
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