Individual
MYKEN BRIEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
559 E 1300 N, PLEASANT GROVE, UT 84062-1966
(801) 921-3813
Mailing address
559 E 1300 N, PLEASANT GROVE, UT 84062-1966
(801) 921-3813
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
365887-3501
UT
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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