Individual
MR. BRADLY JAMES GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7380
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-7380
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
51755793506
UT
1041C0700X
Clinical Social Worker
Primary
5175579-3501
UT
Other
Enumeration date
09/21/2010
Last updated
10/24/2024
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