Individual
MR. BRETT ADAM DUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
453 S CARBON AVE, PRICE, UT 84501-3226
(435) 650-0315
Mailing address
453 S CARBON AVE, PRICE, UT 84501-3226
(435) 650-0315
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9068999-3502
UT
Other
Enumeration date
09/01/2013
Last updated
11/06/2014
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