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Individual

MRS. TRINA RAE STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CMHC

Contact information

Practice address
5770 S 1500 W, TAYLORSVILLE, UT 84123-5216
(801) 313-7340
(801) 313-7944
Mailing address
5770 S 1500 W, TAYLORSVILLE, UT 84123-5216
(801) 313-7340
(801) 313-7944

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8975735-6004
UT

Other

Enumeration date
03/08/2017
Last updated
03/08/2017
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