BRYAN SHORES

OGDEN, UT
NPI1831963271
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: UT  117171836004)
Enumeration Date2023-11-07
Last Update Date2023-11-07
Business Address
-- BRYAN SHORES CMHC
1430 WILD ROSE WAY
OGDEN, UT 84404-6172
Phone number: 703-599-1886
Mailing Address
-- BRYAN SHORES CMHC
1430 WILD ROSE WAY
OGDEN, UT 84404-6172
Phone number: 703-599-1886
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