Individual
NEIL P WARDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC
Contact information
Practice address
875 W BAXTER DR, SOUTH JORDAN, UT 84095-8506
(801) 938-9395
Mailing address
875 W BAXTER DR, SOUTH JORDAN, UT 84095-8506
(801) 938-9395
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
UT
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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