Individual
MRS. GLENDA AMELIA WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
201 S 1460 E RM 426, SALT LAKE CITY, UT 84112-9061
(180) 185-6771
Mailing address
1553 OWENWOOD CIR, SANDY, UT 84092-5381
(180) 185-6716
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2877613501
UT
Other
Enumeration date
12/18/2009
Last updated
12/18/2009
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