Individual
CADE DOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
748 S WOOD BRIAR WAY, NORTH SALT LAKE, UT 84054-3339
(801) 682-3795
Mailing address
748 S WOOD BRIAR WAY, NORTH SALT LAKE, UT 84054-3339
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13014773-3501
UT
1041C0700X
Clinical Social Worker
2171563
ID
Other
Enumeration date
10/23/2023
Last updated
02/02/2026
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