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Wendy Gore, SUPPORT STAFF

NPI #1801140397 in Slc, Utah

Provider Information

NPI Number
1801140397
Entity Type
Individual
Name
Wendy Gore, SUPPORT STAFF
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
SUPPORT STAFF
Enumeration Date
Nov 5, 2012
Last Updated
Nov 5, 2012

Practice Location

Address
344 E 100 S STE 301
City
Slc
State
Utah
ZIP Code
84111-1727
Phone
(801) 322-4257

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)

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