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1922324573
CORY BRAD DENNIS
PROVO, UT
NPI
1922324573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 5947893-3501)
Enumeration Date
2010-04-07
Last Update Date
2017-04-27
Business Address
-- CORY BRAD DENNIS PhD, LCSW
2179 JFSB BRIGHAM YOUNG UNIVERSITY
PROVO, UT 84602
Phone number: 801-422-7447
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Mailing Address
-- CORY BRAD DENNIS PhD, LCSW
2179 JFSB BRIGHAM YOUNG UNIVERSITY
PROVO, UT 84602
Phone number: 518-956-1901
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