Individual
ASHLEY BROOKE SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
925 E 900 S, #42, SALT LAKE CITY, UT 84105-1401
(502) 741-6065
(801) 363-6564
Mailing address
925 E 900 S, #42, SALT LAKE CITY, UT 84105-1401
(502) 741-6065
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6985612-3501
UT
Other
Enumeration date
04/26/2010
Last updated
09/09/2011
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