Individual
FREDERICK CHARLES DANNEMAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2059 E 3900 S, MILLCREEK, UT 84124-1747
(801) 268-2558
Mailing address
609 MAPLE ST, CLEARFIELD, UT 84015-4033
(801) 400-2578
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8182493-6004
UT
Other
Enumeration date
10/05/2020
Last updated
10/16/2020
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