Individual
SAMANTHA GAYLE STINNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
4626 N 300 W STE 150, PROVO, UT 84604-6077
(801) 407-4134
Mailing address
4626 N 300 W STE 150, PROVO, UT 84604-6077
(801) 407-4134
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12853046-3506
UT
Other
Enumeration date
05/17/2022
Last updated
10/06/2022
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