RICHARD LEE WAILES

WEST JORDAN, UT
NPI1740346113
Other NameRIC WAILES
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  324302-3501)
Enumeration Date2006-12-29
Last Update Date2007-11-04
Business Address
-- RICHARD LEE WAILES LCSW
2096 ARTHUR DR
WEST JORDAN, UT 84084-3237
Phone number: 801-808-1072
Mailing Address
-- RICHARD LEE WAILES LCSW
2096 ARTHUR DR
WEST JORDAN, UT 84084-3237
Phone number: 801-808-1072
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