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Individual

KATHERINE B BRUNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMHC

Contact information

Practice address
222 W 540 N, OREM, UT 84057-6631
(801) 404-0064
Mailing address
9798 N 6530 W, HIGHLAND, UT 84003-9247
(801) 636-3036

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
275727-6004
UT

Other

Enumeration date
08/08/2017
Last updated
05/11/2018
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