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Individual

KATHRYN STAMOS GROW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3544 LINCOLN AVE STE C, OGDEN, UT 84401-4034
(801) 721-5550
(801) 393-5025
Mailing address
3544 LINCOLN AVE STE C, OGDEN, UT 84401-4034
(801) 721-5550
(801) 393-5025

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3165563501
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
592631
VALUE OPTIONS
UT
Enumeration date
08/21/2006
Last updated
01/12/2010
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