Individual
BROOKE KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
70 N MAIN ST STE 104, BOUNTIFUL, UT 84010-6115
(801) 298-5222
Mailing address
1940 S 200 W UNIT 2, BOUNTIFUL, UT 84010-7554
(801) 721-1956
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9636088-3501
UT
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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