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1942507454
BRANDY BROCK
MURRAY, UT
NPI
1942507454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 3463453503)
Enumeration Date
2011-02-17
Last Update Date
2011-02-17
Business Address
-- BRANDY BROCK
5965 S 900 E
MURRAY, UT 84121-1720
Phone number: 801-536-6502
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Mailing Address
-- BRANDY BROCK
5965 S 900 E
MURRAY, UT 84121-1720
Phone number: 801-536-6502
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