Individual
BRIAN AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 S UNIVERSITY AVE, SUITE 3200, PROVO, UT 84601-4427
(801) 851-7127
Mailing address
151 S UNIVERSITY AVE, SUITE 3200, PROVO, UT 84601-4427
(801) 851-7127
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
8960317-3502
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/18/2013
Last updated
01/20/2016
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