GARY V BROADBENT

OGDEN, UT
NPI1497990550
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: UT  113385-3501)
Enumeration Date2008-12-03
Last Update Date2008-12-03
Business Address
GARY V BROADBENT LCSW
5030 HARRISON BLVD
OGDEN, UT 84403-4311
Phone number: 801-550-6712
Mailing Address
GARY V BROADBENT LCSW
2757 E 3600 S
SALT LAKE CITY, UT 84109-3546
Phone number: 801-550-6712
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