Individual
LUCRETIA STALLINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 MEDICAL DR STE 100, BOUNTIFUL, UT 84010-4946
(801) 683-1062
Mailing address
415 MEDICAL DR STE 100, BOUNTIFUL, UT 84010-4946
(801) 683-1062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12358017-3501
UT
Other
Enumeration date
01/28/2018
Last updated
09/13/2023
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