Individual
BRADYN LEE HATTENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
271 S MAIN ST, EPHRAIM, UT 84627-1313
(435) 283-4690
Mailing address
271 S MAIN ST, EPHRAIM, UT 84627-1313
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14243812-3502
UT
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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