Individual
NEWTON B BRYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1055 N 300 W STE 104, PROVO, UT 84604-3381
(801) 357-7525
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-7525
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1299533501
UT
Other
Enumeration date
07/15/2006
Last updated
11/17/2010
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