Individual
CASSIDY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 S MAIN ST, BOUNTIFUL, UT 84010-6265
(801) 935-4171
Mailing address
1010 N VICTORIA WAY # B, SALT LAKE CITY, UT 84116-1758
(385) 252-0341
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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