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Individual

MAXWELL KAHANA WIMMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CSW

Contact information

Practice address
359 E 1200 S STE 359, OREM, UT 84058-6904
(801) 921-1200
Mailing address
359 E 1200 S STE 359, OREM, UT 84058-6904
(801) 921-1200

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12879849-3502
UT

Other

Enumeration date
10/05/2020
Last updated
11/17/2025
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