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1972984383
CRAIG HOWARD WILDE
LAYTON, UT
NPI
1972984383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 10419730-3502)
Enumeration Date
2015-06-11
Last Update Date
2017-11-06
Business Address
CRAIG HOWARD WILDE
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
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Mailing Address
CRAIG HOWARD WILDE
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
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