Individual
ANDREA STUCKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3776 WALL AVE, OGDEN, UT 84405-7103
(385) 333-5339
Mailing address
1641 N 725 W, CLINTON, UT 84015-6640
(801) 995-1059
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
362395-3501
UT
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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