Kristy Hazel Wilder

NPI #1003372681 in Salt Lake City, Utah

Provider Information

NPI Number
1003372681
Entity Type
Individual
Name
Kristy Hazel Wilder
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Feb 19, 2019
Last Updated
Feb 19, 2019

Practice Location

Address
1318 E WINDER LN
State
Utah
ZIP Code
84124-1455
Phone
(801) 558-7111

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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