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1831963271
BRYAN SHORES
OGDEN, UT
NPI
1831963271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: UT 117171836004)
Enumeration Date
2023-11-07
Last Update Date
2023-11-07
Business Address
BRYAN SHORES CMHC
1430 WILD ROSE WAY
OGDEN, UT 84404-6172
Phone number: 703-599-1886
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Mailing Address
BRYAN SHORES CMHC
1430 WILD ROSE WAY
OGDEN, UT 84404-6172
Phone number: 703-599-1886
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