Full Name | Jessica Wyly |
---|---|
Gender | Female |
Speciality | Social Worker |
Location | 1159 N 1165 W, Orem, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063912335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 10108693-6018 (Utah) | Secondary |
104100000X | Social Worker | 10108693-3502 (Utah) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jessica Wyly, 1159 N 1165 W, Orem, UT 84057-6400 Ph: (801) 389-2381 | Jessica Wyly, 1159 N 1165 W, Orem, UT 84057-6400 Ph: (801) 389-2381 |
News Archive
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