Individual
BRADY CLEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
870 W CENTER ST, OREM, UT 84057-5202
(801) 426-8800
Mailing address
870 W CENTER ST, OREM, UT 84057-5202
(385) 201-4420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11197724-3502
UT
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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