MICHAEL WILKES

PROVO, UT
NPI1649766536
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: UT  10108914-3502)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2018-07-03
Last Update Date2019-09-30
Business Address
MICHAEL WILKES
750 N FREEDOM BLVD
PROVO, UT 84601
Phone number: 801-373-4760
Mailing Address
MICHAEL WILKES
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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