Individual
BRYNN CELESTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1530 S 500 W, PROVO, UT 84601-6014
(801) 669-5861
(801) 669-5889
Mailing address
51 S 800 W, PROVO, UT 84601-4055
(435) 849-6189
(801) 669-5889
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11770884-3502
UT
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/14/2019
Last updated
04/08/2021
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