JASON EDWARD WILDE

CLEARFIELD, UT
NPI1689962060
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
(Licence: UT  5638133-6004)
Enumeration Date2011-07-19
Last Update Date2011-07-19
Business Address
MR. JASON EDWARD WILDE LPC
1360 E 1450 S
CLEARFIELD, UT 84015-1611
Phone number: 801-773-0712
Mailing Address
MR. JASON EDWARD WILDE LPC
1360 E 1450 S
CLEARFIELD, UT 84015-1611
Phone number: 801-773-0712
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