Individual
AMY BRYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
724 E 2100 S, SALT LAKE CITY, UT 84106-1830
(801) 487-0499
Mailing address
1418 S 1100 E APT 9, SALT LAKE CITY, UT 84105-2427
(801) 673-1320
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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