Individual
BROOKE FREEZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
18 N 200 E STE 406, TREMONTON, UT 84337-1442
(435) 279-4501
Mailing address
PO BOX 192, FIELDING, UT 84311-0192
(435) 279-4501
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10851664-3904
UT
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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