Mark Tanner Fredrickson
Mark Tanner Fredrickson is a Clinical Social Worker in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2025.
- Licensed in
- UT
- In the registry since
- 2025
Practice location Address checks out
1875 S Redwood RdSalt Lake City, UT 84104-5112
Phone: (801) 355-2846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 14292963-3502 (UT) |
|---|
Record details
| NPI number | 1265312094 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 3, 2025 |
| Last updated in NPPES | June 18, 2026 |
| Certification date | June 18, 2026 |
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