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Brandon Back Valid NPI

Individual provider · Marriage & Family Therapist · Provo, UT

NPI
1497179493
Type
Individual (Type 1)
Primary specialty
Marriage & Family Therapist
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
106H00000X
Sex
Male
Sole proprietor
No
Enumerated
2014-02-11
Last updated
2016-11-17
Practice location
750 N Freedom Blvd
Provo, UT 84601-1677
(801) 373-4760

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