Individual
JEFFREY DENNIS DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5383 S 900 E STE 103, MURRAY, UT 84117-7266
(801) 872-5516
Mailing address
5965 S 900 E, MURRAY, UT 84121-1757
(801) 872-5516
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5544220-3501
UT
1041C0700X
Clinical Social Worker
Primary
5544220-3501
UT
1041C0700X
Clinical Social Worker
5544220-3502
UT
1041S0200X
School Social Worker
—
—
Other
Enumeration date
12/17/2020
Last updated
03/01/2024
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