Individual
BRUCE HOMER CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3447 SAN CARLOS DR, WEST VALLEY CITY, UT 84119-5646
(801) 964-1857
Mailing address
3447 SAN CARLOS DR, WEST VALLEY CITY, UT 84119-5646
(801) 964-1857
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
101295-3501
UT
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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