Individual
MR. JAMES D WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
195 W 7200 S, MIDVALE, UT 84047-3703
(801) 565-6900
(801) 569-0899
Mailing address
495 TONALEA DR, MURRAY, UT 84107-6231
(801) 293-7073
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
221197743501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107011001101
INTRMTN. HEALTH CARE
UT
01
—
11977435000001
BLUE CROSS
UT
01
—
740396
DESERET MUTUAL
UT
Enumeration date
01/10/2006
Last updated
07/08/2007
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