Individual
TAUNYA LYN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13073 WHEATFIELD WAY, DRAPER, UT 84020-9253
(801) 386-0356
(801) 495-2076
Mailing address
13073 WHEATFIELD WAY, DRAPER, UT 84020-9253
(801) 386-0356
(801) 495-2076
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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