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Organization

BRIDGES FORENSIC COUNSELING SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LEE L PERRY LCSW (CLINICAL DIRECTOR)
(801) 217-3523
Entity
Organization

Contact information

Practice address
189 S STATE ST, SUITE 180, CLEARFIELD, UT 84015-1061
(801) 217-3523
(801) 217-3723
Mailing address
189 S STATE ST, SUITE 180, CLEARFIELD, UT 84015-1061
(801) 217-3523
(801) 217-3723

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17035
UT

Other

Enumeration date
11/15/2010
Last updated
12/01/2010
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