Individual
BRIELLE NICOLE LUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
25 E CENTER ST APT 92, NORTH SALT LAKE, UT 84054-2838
(801) 652-0035
(801) 747-2086
Mailing address
25 E CENTER ST APT 92, NORTH SALT LAKE, UT 84054-2838
(801) 652-0035
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12375536-3501
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/01/2020
Last updated
01/09/2024
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