Individual
MCKENZIE LYNN BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
857 E 200 S, SALT LAKE CITY, UT 84102-2317
(801) 487-3276
Mailing address
857 E 200 S, SALT LAKE CITY, UT 84102-2317
(801) 487-3276
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12267031-3501
UT
172V00000X
Community Health Worker
—
—
Other
Enumeration date
08/13/2020
Last updated
06/16/2023
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