Organization
HOLBROOK THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARRY RICHARD HOLBROOK (OWNER/ LCSW)
(435) 676-3020
Entity
Organization
Contact information
Practice address
12670 N 6500 E, SPRING CITY, UT 84662
(435) 676-3020
(435) 462-9839
Mailing address
PO BOX 575, SPRING CITY, UT 84662-0575
(435) 676-3020
(435) 462-9839
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
379899-3501
UT
Other
Enumeration date
03/20/2013
Last updated
01/16/2015
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