Individual
MUTSUMI BRAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-5000
Mailing address
1529 E 3115 S, SLC, UT 84106-3455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10088318-6009
UT
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/06/2019
Last updated
05/16/2022
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