Individual
ARELY WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1747 S 900 W, SALT LAKE CITY, UT 84104-1716
(801) 886-7701
Mailing address
1747 S 900 W, SALT LAKE CITY, UT 84104-1716
(801) 886-7701
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
14238523-3503
UT
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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