D. B. TUG WAGSTAFF, LPC
Residential Treatment Facilities at 70, Highland, UT

License number
Utah 321749-6004
Category
Hospitals
Type
Psychiatric Unit
License number
Utah 321749-6004
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: MR. DOUG 'TUG' B. WAGSTAFF M.ED., LPC
Title: OWNER
Phone: (801) 376-4787
Address
Address
1021 E 70 N, Highland, UT 84003
National Provider ID: 1053638031
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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