Individual
COURT ALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
650 S KOMAS DR, 200, SLC, UT 84108-1215
(801) 581-5515
(801) 585-5600
Mailing address
PO BOX 413076, 200, SALT LAKE CITY, UT 84141-3076
(801) 213-3900
(801) 585-5600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7376215-3502
UT
Other
Enumeration date
04/21/2014
Last updated
06/20/2014
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