Individual
CASEY STILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6836 S 1495 E, COTTONWOOD HEIGHTS, UT 84121-2728
(801) 898-1908
Mailing address
6836 S 1495 E, COTTONWOOD HEIGHTS, UT 84121-2728
(801) 898-1908
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8356397-3503
UT
1041C0700X
Clinical Social Worker
8356397-3501
UT
Other
Enumeration date
08/02/2013
Last updated
03/23/2021
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