Organization
GILEAD THERAPY PROFESSIONAL LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE BRADFORD (OWNER, LCSW)
(801) 376-0566
Entity
Organization
Contact information
Practice address
560 S STATE ST STE E1, OREM, UT 84058-6347
(801) 376-0566
Mailing address
1898 W 830 N, PROVO, UT 84604-5946
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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