Individual
KELLEY WHICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1447 S 550 E, OREM, UT 84097-7136
(702) 820-6676
Mailing address
885 E 300 S, PROVO, UT 84606-4934
(702) 820-6676
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14268977-3501
UT
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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