Individual
ALYSHA BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5770 S 1500 W BLDG C, SALT LAKE CITY, UT 84123-5216
(801) 313-7940
(801) 313-7944
Mailing address
5770 S 1500 W BLDG C, SALT LAKE CITY, UT 84123-5216
(801) 313-7940
(801) 313-7944
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8975760-3501
UT
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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