Individual
VALERIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 S 1000 W, TOOELE, UT 84074-4010
(801) 268-4887
Mailing address
3725 W 4100 S STE 201, WEST VALLEY, UT 84120-6490
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
F25-120994
UT
Other
Enumeration date
09/01/2022
Last updated
10/02/2025
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