MARY LOU WISE

OREM, UT
NPI1427290501
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: UT  134492-3501)
Enumeration Date2009-04-03
Last Update Date2009-04-03
Business Address
MARY LOU WISE LCSW
1790 N STATE ST
OREM, UT 84057-2025
Phone number: 801-224-8255
Mailing Address
MARY LOU WISE LCSW
1790 N STATE ST
OREM, UT 84057-2025
Phone number: 801-224-8255
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