Individual
ASHLEY CAROLINA BROG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
75 W 100 S STE 200, LOGAN, UT 84321-5842
(801) 822-2109
Mailing address
1934 N 1200 E, NORTH LOGAN, UT 84341-2006
(801) 822-2109
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
8572468-3501
UT
1041C0700X
Clinical Social Worker
Primary
8572468-3502
UT
Other
Enumeration date
06/13/2013
Last updated
05/13/2024
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