Individual
NANCY FUNK WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW-I
Contact information
Practice address
3002 W 12600 S, RIVERTON, UT 84065-7119
(801) 930-0411
Mailing address
3488 FOOTHILL DR, PROVO, UT 84604-4859
(801) 636-5850
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
UT
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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