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Individual

STEVIE WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
280 E 600 S STE 100, SALT LAKE CITY, UT 84111-3564
(801) 539-7019
Mailing address
3725 W 4100 S STE 201, WEST VALLEY CITY, UT 84120-5427

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F24-110562
UT
172V00000X
Community Health Worker
UT

Other

Enumeration date
12/19/2023
Last updated
03/13/2024
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