Whalio Doctors

NPI 1033539770

Court Allred, CSW

Practitioner Social Worker Slc, UT

Practice location

Address
650 S Komas Dr 200, Slc, UT 84108-1215
Phone
(801) 581-5515
Fax
(801) 585-5600
Mailing address
PO Box 413076 200, Salt Lake City, UT 84141-3076

Registered specialties

Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 7376215-3502 (UT)

Registry record

NPI
1033539770
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Apr 2014
Record last updated
20 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.