Individual
BRIAN DAVID COOMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1415 E 2100 S, SALT LAKE CITY, UT 84105-3724
(801) 808-1267
Mailing address
1415 E 2100 S, SALT LAKE CITY, UT 84105-3724
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9555940-3501
UT
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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