Individual
PATRICK D GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4699 HARRISON BLVD, SUITE 300, OGDEN, UT 84405-4368
(801) 479-8286
(801) 479-8247
Mailing address
4699 HARRISON BLVD, SUITE 300, OGDEN, UT 84403-4368
(801) 479-8286
(801) 479-8247
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
138682-3501
UT
Other
Enumeration date
05/04/2006
Last updated
11/07/2007
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