Individual
GARRY RICHARD HOLBROOK SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
609 NORTH MAIN, #3, PANGUITCH, UT 84759
(435) 676-3020
(435) 676-8832
Mailing address
PO BOX 63, PANGUITCH, UT 84759-0063
(435) 676-3020
(435) 676-8832
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
UT
Other
Enumeration date
09/04/2008
Last updated
01/14/2013
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