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Individual
BRYAN L POVEY
Active
Individual
BRYAN L POVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
316315-3502
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260022408
RAIL ROAD MEDICARE
UT
05
—
876000308007
—
UT
Enumeration date
12/15/2015
Last updated
12/15/2015
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