BRYAN K. WILDE

FARMINGTON, UT
NPI1942430863
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  365238-3501)
Enumeration Date2009-07-27
Last Update Date2009-07-27
Business Address
Mr. BRYAN K. WILDE LCSW
722 SHEPARD LN SUITE 105
FARMINGTON, UT 84025-3845
Phone number: 801-510-1261
Mailing Address
Mr. BRYAN K. WILDE LCSW
722 SHEPARD LN SUITE 105
FARMINGTON, UT 84025-3845
Phone number: 801-510-1261
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