BRENT ANDREW TYCKSEN

PROVO, UT
NPI1962856930
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  10535183-3501)
Enumeration Date2016-04-15
Last Update Date2023-10-23
Business Address
BRENT ANDREW TYCKSEN LCSW
5600 NORTH 250 WEST
PROVO, UT 84604
Phone number: 801-226-4600
Mailing Address
BRENT ANDREW TYCKSEN LCSW
173 E 10000 S
SALEM, UT 84653-9253
Phone number:
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