Individual
LAURA BRADBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCW
Contact information
Practice address
549 N 200 W, BOUNTIFUL, UT 84010-6955
(801) 540-8018
Mailing address
549 N 200 W, BOUNTIFUL, UT 84010-6955
(801) 540-8018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11822772-3501
UT
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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