Wilson, Reggie D

Wilson, Reggie D is an individual health care provider with primary practice located at 195 W 7200 S , Midvale UT 84047-3703. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wilson, Reggie D can be contacted via phone (801) 565-6900.

Contact Information

Primary practice address
195 W 7200 S Midvale UT 84047-3703
Phone: (801) 565-6900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3335063501 Utah

Profile Details

NPI number 1184694077
LBN Legal business name Wilson, Reggie D
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184694077 NPPES
Utah Other 887452 DESERET MUTUAL
Utah Other 107032323101 DESERET MUTUAL

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