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1073547121
MARY JOLENE WILDER
SALT LAKE CITY, UT
NPI
1073547121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 1388463507)
Enumeration Date
2006-07-11
Last Update Date
2007-07-08
Business Address
Ms. MARY JOLENE WILDER L.C.S.W.
4250 W 5415 S THIRD FLOOR
SALT LAKE CITY, UT 84118-4321
Phone number: 801-969-4181
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Mailing Address
Ms. MARY JOLENE WILDER L.C.S.W.
265 W CLARK ST PO BOX 215
GRANTSVILLE, UT 84029-9604
Phone number: 435-224-2726
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