MR. Kirt Don Wise, LCSW
NPI #1215182795 in Clearfield, Utah
Provider Information
- NPI Number
- 1215182795
- Entity Type
- Individual
- Name
- MR. Kirt Don Wise, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Nov 25, 2008
- Last Updated
- Apr 22, 2016
Practice Location
- Address
- 387 E 450 S
- City
- Clearfield
- State
- Utah
- ZIP Code
- 84015-1734
- Phone
- (801) 635-5022
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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