LAURA LYN BROCKBANK

SALT LAKE CITY, UT
NPI1780720888
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: UT  363425-2501)
Enumeration Date2007-01-29
Last Update Date2007-07-08
Business Address
Dr. LAURA LYN BROCKBANK Ph.D.
1399 S 700 E SUITE 7
SALT LAKE CITY, UT 84105-2149
Phone number: 801-483-3068
Mailing Address
Dr. LAURA LYN BROCKBANK Ph.D.
1966 LINCOLN LN
SALT LAKE CITY, UT 84124-2745
Phone number: 801-278-1139
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