Individual
REBECCA IRENE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
1422 E 820 N, OREM, UT 84097-5481
(720) 495-9588
Mailing address
1783 S 750 E, OREM, UT 84097-8066
(720) 495-9588
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
13425679-3904
UT
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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