David Carlson
Social Worker, Clinical in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1982007407
StatusActive
Last updated in NPPESSep 29, 2014
Details
- NPI
- 1982007407
- Entity type
- Individual (NPI-1)
- Name
- David Carlson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 29, 2014
- Last updated
- Sep 29, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
344 E 100 S Ste 301Salt Lake City, UT 84111-1727
Phone 801-322-4257
Mailing address
122 S Main St Apt 3Bountiful, UT 84010-6188
Phone 435-881-4499
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