Individual
WENDY GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUPPORT STAFF
Contact information
Practice address
344 E 100 S STE 301, SLC, UT 84111-1727
(801) 322-4257
Mailing address
2907 E OAKRIDGE DR, SLC, UT 84109-3611
(435) 216-8678
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
UT
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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