Individual
BROOK WOUDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 N 2350 W, FARR WEST, UT 84404-5177
(801) 872-8757
Mailing address
420 ANN ST, CLEARFIELD, UT 84015-3722
(801) 668-2797
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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