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Brandon Gwilliam, LCSW
NPI 1942550488 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1807 N 1120 W
Provo, UT 84604 - Phone
- (801) 377-1117
- Fax
- (801) 377-0227
- Organisation at this address
- Spine Craft Utah Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-09-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah