Individual
LAUREN WILDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9071 S 1300 W STE 205, WEST JORDAN, UT 84088-6725
(801) 453-9625
(801) 944-7347
Mailing address
9071 S 1300 W STE 205, WEST JORDAN, UT 84088-6725
(801) 453-9625
(801) 944-7347
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13402714-3501
UT
Other
Enumeration date
10/11/2018
Last updated
06/24/2025
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