Individual
BRITTANI FRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 W 1850 N, PROVO, UT 84604-1416
(801) 375-4240
Mailing address
619 N 500 W, PROVO, UT 84601-1547
(801) 375-4240
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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