Individual
MRS. BLAIR L WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12569 S 2700 W, RIVERTON, UT 84065-7182
(801) 209-9797
Mailing address
12569 S 2700 W, RIVERTON, UT 84065-7182
(801) 209-9797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12837621-3502
UT
Other
Enumeration date
12/14/2020
Last updated
05/02/2024
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