Individual
BRIAN MELCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3840
Mailing address
3178 S 945 E, APT. B, SALT LAKE CITY, UT 84106-2152
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6441326-3502
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
876000308007
—
UT
Enumeration date
03/29/2007
Last updated
07/08/2007
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