Individual
DAVID TYREL WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
1422 E 820 N, OREM, UT 84097-5481
(385) 309-1038
Mailing address
1422 E 820 N, OREM, UT 84097-5481
(385) 309-1038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13983491-3502
UT
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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