Individual
MR. PHILIP JAMES BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, MS
Contact information
Practice address
2711 SANTA CLARA DR, SANTA CLARA, UT 84765-5466
(435) 674-9310
(435) 674-9309
Mailing address
271 E BROWNING AVE, SALT LAKE CITY, UT 84115-5425
(801) 694-0711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11640386-3506
UT
Other
Enumeration date
03/01/2020
Last updated
03/01/2020
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