Organization
BWL ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA ANN LUKER LCSW (PRESIDENT)
(801) 329-5872
Entity
Organization
Contact information
Practice address
925 EXECUTIVE PARK DR, SUITE E, HOLLADAY, UT 84117-3581
(801) 329-5872
Mailing address
4623 S 600 E, SALT LAKE CITY, UT 84107-3903
(801) 329-5872
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3492833501
UT
Other
Enumeration date
01/21/2009
Last updated
07/14/2022
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