Individual
BRADLEY DEAN WEISCHEDEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4460 HIGHLAND DR, SUITE 100, SALT LAKE CITY, UT 84124-3543
(801) 273-4094
Mailing address
87 W 300 N, SALT LAKE CITY, UT 84103-1959
(801) 949-8911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2954763501
UT
Other
Enumeration date
01/31/2006
Last updated
07/09/2007
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