Individual
TRACIE JOELENE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1009 N BLUE TOPAZ DR, WASHINGTON, UT 84780-3035
(435) 632-9514
Mailing address
1009 N BLUE TOPAZ DR, WASHINGTON, UT 84780-3035
(435) 632-9514
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
9436174-3502
UT
Other
Enumeration date
02/20/2014
Last updated
03/27/2020
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