MARK TANNER FREDRICKSON

SALT LAKE CITY, UT
NPI1265312094
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  14292963-3502)
Enumeration Date2025-09-03
Last Update Date2026-06-18
Business Address
-- MARK TANNER FREDRICKSON
1875 S REDWOOD RD
SALT LAKE CITY, UT 84104-5112
Phone number: 801-355-2846
Mailing Address
-- MARK TANNER FREDRICKSON
1875 S REDWOOD RD
SALT LAKE CITY, UT 84104-5112
Phone number:
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