Individual
JUSTIN BRADLEY BRULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
245 HIGHWAY 198 STE 5, SALEM, UT 84653-5608
(385) 208-7701
Mailing address
245 HIGHWAY 198 STE 5, SALEM, UT 84653-5608
(385) 208-7701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
140726503502
UT
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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