person
Ms. Mary Jolene Wilder, LCSW
Mental Health Counselor in Salt Lake City, Utah
NPI 1073547121

Mary Jolene Wilder is a Mental Health Counselor based in Grantsville, UT and is specialized in Mental Health. Mary Jolene Wilder practices in Salt Lake City, UT and has the professional credentials of LCSW. The NPI Number for Mary Jolene Wilder is 1073547121 and holds a License No. 1388463507 (Utah).

The current practice location address for Mary Jolene Wilder is 4250 W 5415 S, Salt Lake City, UT and can be reached out via phone at 801-969-4181 and via fax at 801-969-1291.

Location: 4250 W 5415 S, Salt Lake City, UT, 84029-9604
person
Provider Profile Details
NPI Number
1073547121
Provider Name
Mary Jolene Wilder
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
4250 W 5415 S, Salt Lake City, UT, 84029-9604
Phone Number
801-969-4181
Fax Number
801-969-1291
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4250 W 5415 S
City
State
Zip
84118-4321
Phone Number
801-969-4181
Fax Number
801-969-1291
person
Provider Business Mailing Address Details
Address
4250 W 5415 S
City
State
Zip
84118-4321
Phone Number
801-969-4181
Fax Number
801-969-1291
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1388463507 (Utah)
Definition
Definition to come...
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