Individual
RICHARD BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5663 S REDWOOD RD, SALT LAKE CITY, UT 84123-5387
(801) 664-4228
Mailing address
5663 REDWOOD RD, SALT LAKE CITY, UT 84123
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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