Individual
MR. RYAN K DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
344 E 100 S, SUITE 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
2567 W SHARRON DR, TAYLORSVILLE, UT 84129-2019
(801) 243-2289
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8242453-3502
UT
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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