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Individual

DR. DOUGLAS MICHAEL WENDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, PHD

Contact information

Practice address
1869 N 1120 W, PROVO, UT 84604-1180
(801) 472-0122
Mailing address
351 W 490 N, VINEYARD, UT 84059-4816
(801) 472-0122

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12557494-3501
UT

Other

Enumeration date
05/22/2024
Last updated
05/22/2024
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