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Individual

BRIAN J GARLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
370 S 500 E STE 135, CLEARFIELD, UT 84015-4001
(801) 815-3443
Mailing address
1495 S 375 E, KAYSVILLE, UT 84037-9615
(801) 628-6160

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2888593501
UT

Other

Enumeration date
04/16/2010
Last updated
04/16/2010
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