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Individual

STEPHANIE GRANDJEAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1950 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5500
(801) 587-7000
Mailing address
1964 S 1300 E, SALT LAKE CITY, UT 84105-3612
(603) 814-2666

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13276450-3501
UT
104100000X
Social Worker
LCSW215605
MA

Other

Enumeration date
07/17/2007
Last updated
12/03/2024
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