Individual
CARRIE LYNN ELIZABETH WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3355 N UNIVERSITY AVE STE 100, PROVO, UT 84604-6618
(801) 427-1054
Mailing address
3355 N UNIVERSITY AVE STE 100, PROVO, UT 84604-6618
(801) 427-1054
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12852754-3501
UT
Other
Enumeration date
03/05/2021
Last updated
06/04/2024
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