Individual
WENDY L STILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAC
Contact information
Practice address
745 EAST. 300 SOUTH, SALT LAKE CITY, UT 84102
(801) 428-1333
Mailing address
745 EAST. 300 SOUTH, SALT LAKE CITY, UT 84102
(801) 428-1333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6846436006
UT
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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