Individual
TAYLOR LINDSAY BROOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3665 S 8400 W, MAGNA, UT 84044-4907
(801) 250-9638
Mailing address
1161 DAVENPORT DR, GRANTSVILLE, UT 84029-5503
(518) 231-6917
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13141222-6009
UT
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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