Individual
MR. DAVID GARY ELDREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
280 E 600 S, SALT LAKE CITY, UT 84111-3564
(801) 538-2069
Mailing address
280 E 600 S, SALT LAKE CITY, UT 84111-3564
(801) 538-2069
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2828373501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107012403101
INTRMTN. HEALTH CARE
UT
01
—
28283735001001
BLUE CROSS
UT
01
—
780730
DESERET MUTUAL
UT
01
—
942938348ELD
EDUCATORS MUTUAL
UT
Enumeration date
11/28/2005
Last updated
12/03/2021
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