Individual
MR. ROBERT WIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW., MSCJA
Contact information
Practice address
10087 S COPPER PIT CIR, SOUTH JORDAN, UT 84095-2443
(385) 439-3674
Mailing address
10087 S COPPER PIT CIR, SOUTH JORDAN, UT 84095-2443
(385) 439-3674
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8108830-3501
UT
Other
Enumeration date
04/24/2008
Last updated
12/13/2016
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