Individual
JAY A. ELDREDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
49 E 200 S, CLEARFIELD, UT 84015
(801) 779-0095
Mailing address
2256 E 3225 N, LAYTON, UT 84040-8482
(801) 678-6122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
278462-3502
UT
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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