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Organization

BRUCE GOTTLIEB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRUCE GOTTLIEB MSW; L.C.S.W. (PSYCHOTHERAPIST)
(303) 440-7792
Entity
Organization

Contact information

Practice address
2346 KAIBAB CIR, ST GEORGE, UT 84790-8060
(303) 440-7792
Mailing address
2346 KAIBAB CIR, ST GEORGE, UT 84790-8060
(303) 440-7792

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/23/2016
Last updated
11/14/2016
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