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Organization
WHOLE KIDS LLC
Active
Organization
WHOLE KIDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY BLADEN (OWNER)
(435) 760-4557
Entity
Organization
Contact information
Practice address
9035 S 1300 E, B110, SANDY, UT 84094-3132
(801) 509-9652
Mailing address
9947 S FUR HOLLOW CIR, SANDY, UT 84092-4085
(435) 760-4557
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
04/07/2017
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