Individual
MS. STACIE A. SEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1151 E 3900 S, SUITE B299, SALT LAKE CITY, UT 84124-1216
(801) 990-4300
Mailing address
2880 W 4700 S, SUITE G1, TAYLORSVILLE, UT 84129-2156
(801) 990-4300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5473800-3502
UT
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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