KELLY DAWN BROSE

PROVO, UT
NPI1962811224
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  9806442-3501)
Enumeration Date2014-08-11
Last Update Date2019-07-11
Business Address
KELLY DAWN BROSE LCSW
1300 E CENTER ST
PROVO, UT 84606
Phone number: 801-344-4400
Mailing Address
KELLY DAWN BROSE LCSW
PO BOX 270
PROVO, UT 84603-0270
Phone number: 801-344-4400