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Kelsey Marie Wiss
Substance Use Disorder Rehabilitation Clinic/Center in Taylorsville, Utah
NPI 1366946261

Kelsey Marie Wiss is a Substance Use Disorder Rehabilitation Clinic/Center based in Salt Lake City, UT and is specialized in Rehabilitation, Substance Use Disorder. Kelsey Marie Wiss practices in Taylorsville, UT. The NPI Number for Kelsey Marie Wiss is 1366946261 and holds a License No. (Utah).

The current practice location address for Kelsey Marie Wiss is 3809 W 6200 S, Taylorsville, UT and can be reached out via phone at 801-963-4317.

Location: 3809 W 6200 S, Taylorsville, UT, 84124-3543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366946261
Provider Name
Kelsey Marie Wiss
Credential
Provider Entity Type
Individual
Gender
Female
Address
3809 W 6200 S, Taylorsville, UT, 84124-3543
Phone Number
801-963-4317
Fax Number
Provider Enumeration Date
03/23/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3809 W 6200 S
City
Taylorsville
State
Utah
Zip
84129-3725
Phone Number
801-963-4317
Fax Number
person
Provider Business Mailing Address Details
Address
3809 W 6200 S
City
Taylorsville
State
Utah
Zip
84129-3725
Phone Number
801-963-4317
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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