Individual
FREDRICK SAMUEL WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
344 E 100 S, SALT LAKE CITY, UT 84111
(801) 322-3222
Mailing address
900 W 20 N, OREM, UT 84057-1918
(801) 367-6321
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9089219-3502
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/24/2013
Last updated
06/18/2018
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