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Individual

TYLER WISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSW

Contact information

Practice address
224 S MAIN ST, CENTERVILLE, UT 84014-2206
(801) 859-9665
Mailing address
282 N 200 E, FARMINGTON, UT 84025-2552
(801) 550-5315

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14195061-3502
UT

Other

Enumeration date
12/16/2024
Last updated
01/31/2025
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