Individual
AMY WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5150 S WASHINGTON BLVD STE 1, OGDEN, UT 84405-4503
(801) 337-0067
Mailing address
1963 W 4550 S, ROY, UT 84067-3315
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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