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Individual

CLINT O WOLFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSW

Contact information

Practice address
625 E 8400 S, SANDY, UT 84070-0525
(801) 566-2556
Mailing address
140 W 100 N, SPRINGVILLE, UT 84663-1303
(801) 491-6079

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7872309-3502
UT
1041S0200X
School Social Worker
567142

Other

Enumeration date
06/07/2013
Last updated
06/07/2013
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