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1942908439
SCOTT R BRAITHWAITE
PROVO, UT
NPI
1942908439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: UT 8035128-2501)
Enumeration Date
2023-02-23
Last Update Date
2023-02-23
Business Address
SCOTT R BRAITHWAITE Ph.D.
BRIGHAM YOUNG UNIVERSITY 286 TLRB
PROVO, UT 85602
Phone number: 801-422-8583
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Mailing Address
SCOTT R BRAITHWAITE Ph.D.
BRIGHAM YOUNG UNIVERSITY 286 TLRB
PROVO, UT 85602
Phone number: 801-422-8583
Copy
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