Individual
JEREMY WOOLSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 N 200 E, PROVO, UT 84606-1705
(801) 373-4760
Mailing address
750 N 200 E, PROVO, UT 84606-1705
(801) 373-4760
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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