Individual
DEREK WOLFGRAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
805 S 500 W, PAYSON, UT 84651-3203
(435) 283-4690
Mailing address
805 S 500 W, PAYSON, UT 84651-3203
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2023
Last updated
05/13/2026
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