Individual
ANNIE ELIZABETH STAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
3726 E CAMPUS DR STE H, EAGLE MOUNTAIN, UT 84005-4514
(801) 642-4196
Mailing address
3726 E CAMPUS DR STE H, EAGLE MOUNTAIN, UT 84005-4514
(801) 642-4196
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10595657-3904
UT
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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