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Individual

BRITTANY PIERCE COLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
750 N 200 W, PROVO, UT 84601-1677
(801) 373-4760
Mailing address
750 N 200 W, PROVO, UT 84601-1677
(801) 373-4760

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7947878-3502
UT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1902195407
UT
Enumeration date
04/05/2011
Last updated
09/21/2011
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