Dodiann R Wilson, LPC

NPI #1326353418 in Park City, Utah

Provider Information

NPI Number: 1326353418
Entity Type: Individual
Name: Dodiann R Wilson, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Aug 12, 2010
Last Updated: Aug 12, 2010

Practice Location

Address: 1753 SIDEWINDER DR
City: Park City
State: Utah
ZIP Code: 84060-7258
Phone: (435) 649-8347

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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