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Individual

LINDA M. C. WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1190 N 900 E, PROVO, UT 84604-3536
(801) 422-7620
Mailing address
299 E 3450 N, PROVO, UT 84604-4515
(801) 473-5518

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
10371696-3501
UT

Other

Enumeration date
08/24/2016
Last updated
06/14/2024
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