Individual
BRADLEY BRYCE TRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
934 S MAIN ST, LAYTON, UT 84041
(801) 773-7060
Mailing address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 773-7060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7737179-3501
UT
Other
Enumeration date
08/05/2009
Last updated
06/07/2022
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