Individual
WADE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.F.T
Contact information
Practice address
433 S 500 E, AMERICAN FORK, UT 84003-2527
(801) 216-8000
Mailing address
201 E 2525 S, SPRINGVILLE, UT 84663-9493
(801) 489-9006
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
330411-3902
UT
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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