Individual
MADISON WAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1790 N STATE ST, OREM, UT 84057-2025
(801) 224-8255
Mailing address
1790 N STATE ST, OREM, UT 84057-2025
(801) 224-8255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12398153-3501
UT
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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