Search › Utah › 1041C0700X
Richard Wailes, LCSW
NPI 1740346113 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2096 Arthur Dr
West Jordan, UT 84084 - Phone
- (801) 808-1072
- Fax
- (866) 882-3907
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-11-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah