Individual
ELIZABETH M STALLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSUDC
Contact information
Practice address
449 E 2100 S, SALT LAKE CITY, UT 84115-2237
(801) 596-2111
Mailing address
4106 S CUMBERLAND RD, SALT LAKE CITY, UT 84124-2714
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10576239-6005
UT
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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