Individual
DR. TORRENCE WIMBISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4943 S WASATCH BLVD, SALT LAKE CITY, UT 84124-4798
(801) 449-0089
Mailing address
1260 W 900 N, SALT LAKE CITY, UT 84116-3818
(801) 388-3001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5758872-6004
UT
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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