DERRIK WISE

TAYLORSVILLE, UT
NPI1053988915
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2021-06-09
Last Update Date2022-11-01
Business Address
DERRIK WISE
3809 W 6200 S
TAYLORSVILLE, UT 84129-3725
Phone number: 888-949-4864
Mailing Address
DERRIK WISE
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864
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