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Individual

BRYNLEE ANN SHULTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSW

Contact information

Practice address
3507 N UNIVERSITY AVE STE 200, PROVO, UT 84604-6681
(801) 427-1054
Mailing address
3507 N UNIVERSITY AVE STE 200, PROVO, UT 84604-6681
(801) 427-1054

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1041C0700X
Clinical Social Worker
Primary
13972917-3502
UT

Other

Enumeration date
04/24/2023
Last updated
05/27/2026
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