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1528141827
BRAD BENSON
VERNAL, UT
NPI
1528141827
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 111992-3501)
Enumeration Date
2006-10-23
Last Update Date
2016-12-05
Business Address
-- BRAD BENSON LCSW
290 W 100 S
VERNAL, UT 84078-2516
Phone number: 435-621-6142
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Mailing Address
-- BRAD BENSON LCSW
PO BOX 790007
VERNAL, UT 84079-0007
Phone number:
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