| Whole Kids Llc | |
|
9035 S 1300 E B110 Sandy UT 84094-3132 | |
| (801) 509-9652 | |
| Not Available |
| Full Name | Whole Kids Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9035 S 1300 E, Sandy, Utah |
| Authorized Official Name and Position | Jay Bladen (OWNER) |
| Authorized Official Contact | 4357604557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Kids Llc 9947 S Fur Hollow Cir Sandy UT 84092-4085 Ph: (435) 760-4557 | Whole Kids Llc 9035 S 1300 E B110 Sandy UT 84094-3132 Ph: (801) 509-9652 |
| NPI Number | 1164966008 |
|---|---|
| Provider Enumeration Date | 12/12/2016 |
| Last Update Date | 04/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164966008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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