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Individual

CARLA JOAN STODDARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1945 S 1100 E, SUITE 206, SALT LAKE CITY, UT 84106-2369
(801) 891-8119
(801) 313-7805
Mailing address
5770 S 1500 W, BUILDING A, SALT LAKE CITY, UT 84123-5216
(801) 313-7836
(801) 313-7805

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
326286-3501
UT

Other

Enumeration date
02/25/2010
Last updated
02/12/2013
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