Individual
ADAM LANE HELDIBRIDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
870 W CENTER ST, OREM, UT 84057-5202
(435) 633-0412
Mailing address
171 S 300 W, SANTAQUIN, UT 84655-8192
(435) 633-0412
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12985283-3501
UT
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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