Individual
JACQUELINE A WYNDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 S 700 E STE 2A, SALT LAKE CITY, UT 84102-2855
(801) 935-4171
Mailing address
791 E VINE ST APT 203, MURRAY, UT 84107-6586
(253) 861-0042
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
UT
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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