Individual
MR. JUSTIN SHAUN STOCKBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5965 S 900 E, ASAP, SALT LAKE CITY, UT 84121-1720
(801) 263-7250
Mailing address
650 N 300 W, #138, SALT LAKE CITY, UT 84103-1339
(801) 245-0933
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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