Individual
BRYAN FELIPE BONILLA-ALBERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
171 N 400 W # C12, OREM, UT 84057-1909
(801) 224-4550
Mailing address
1010 W 1665 N, OREM, UT 84057-8607
(385) 208-2031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12145051-3502
UT
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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