Individual
ALLEN STEPHEN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
500 FOOTHILL DR, 116OP, SALT LAKE CITY, UT 84148-0001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6304452-3501
UT
Other
Enumeration date
08/31/2006
Last updated
10/20/2009
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