Individual
EUGENE WIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 GRANT ST, SALT LAKE CITY, UT 84116-2725
(801) 359-8862
Mailing address
5541 WILLOW LN, 411 GRANT STREET, SALT LAKE CITY, UT 84107-6243
(801) 906-9419
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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