Individual
STEPHANIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
481 E 1000 S, SUITE D, PLEASANT GROVE, UT 84062-3696
(360) 808-6680
Mailing address
481 E 1000 S, SUITE D, PLEASANT GROVE, UT 84062-3696
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
9129426-3902
UT
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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