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1962241588
DOUGLAS MICHAEL WENDT
PROVO, UT
NPI
1962241588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 12557494-3501)
Enumeration Date
2024-05-22
Last Update Date
2024-05-22
Business Address
Dr. DOUGLAS MICHAEL WENDT LCSW, PhD
1869 N 1120 W
PROVO, UT 84604-1180
Phone number: 801-472-0122
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Mailing Address
Dr. DOUGLAS MICHAEL WENDT LCSW, PhD
351 W 490 N
VINEYARD, UT 84059-4816
Phone number: 801-472-0122
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