Individual
BRINLEY ITRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1125 W CENTER ST, OREM, UT 84057-5207
(801) 903-5903
Mailing address
1125 W CENTER ST, OREM, UT 84057-5207
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12361559-3502
UT
Other
Enumeration date
03/21/2022
Last updated
05/28/2024
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