Individual
BRANDELIN STONEMAN ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
290 N 100 E, AMERICAN FORK, UT 84003-1737
(801) 319-4468
Mailing address
290 N 100 E, AMERICAN FORK, UT 84003-1737
(801) 319-4468
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11087678-3502
UT
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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