Individual
BRANDON SULSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
405 S BROOKSIDE DR, FARMINGTON, UT 84025-2192
(801) 864-1886
Mailing address
405 S BROOKSIDE DR, FARMINGTON, UT 84025-2192
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
75106373501
UT
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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