Individual
MR. RICHARD SHELDON WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3809 W 6200 S, KEARNS, UT 84118-3725
(801) 963-4357
Mailing address
10166 S 360 E, SANDY, UT 84070-4309
(801) 571-7180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2760983501
UT
Other
Enumeration date
01/27/2006
Last updated
03/28/2012
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