Individual
MR. DEDRIC DEAN DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5318 BAGLEY PARK RD, WEST JORDAN, UT 84081-5885
(435) 660-1921
Mailing address
6469 W 7910 S, WEST JORDAN, UT 84081-5885
(435) 660-1921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10858154-3501
UT
Other
Enumeration date
05/04/2026
Last updated
05/11/2026
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