Individual
DELREA B LILLIGRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
198 EAST CENTER STREET, MOAB, UT 84532
(435) 259-6131
(435) 259-5369
Mailing address
PO BOX 867, PRICE, UT 84501
(435) 637-7200
(435) 637-2377
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
48735623503
UT
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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