Individual
BRIAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 FOOTHILL BLVD, SALT LAKE CITY, UT 84113-1106
(801) 582-1565
Mailing address
3411 S 1940 W, WEST VALLEY CITY, UT 84119-3431
(417) 766-5614
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11285634-3501
UT
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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