Individual
MR. FRED H DENISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
325 WEST LOGAN HIGHWAY, GARDEN CITY, UT 84028
(435) 946-3660
Mailing address
PO BOX 328, GARDEN CITY, UT 84028-0328
(435) 946-3660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5357-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
810587644001
—
UT
Enumeration date
04/27/2007
Last updated
07/08/2007
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