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1215182795
KIRT DON WISE
CLEARFIELD, UT
NPI
1215182795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 5666130-3501)
Enumeration Date
2008-11-25
Last Update Date
2016-04-22
Business Address
Mr. KIRT DON WISE LCSW
387 E 450 S
CLEARFIELD, UT 84015-1734
Phone number: 801-635-5022
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Mailing Address
Mr. KIRT DON WISE LCSW
501 W 2600 S STE 200
BOUNTIFUL, UT 84010-7784
Phone number: 801-815-3443
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