Individual
BRYANNA WHITNEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
815 W 450 S # 110, SPRINGVILLE, UT 84663-2200
(801) 477-4084
Mailing address
815 W 450 S # 110, SPRINGVILLE, UT 84663-2200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
94446083501
UT
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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