Individual
STEPHANIE KILIAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
4851 WOODBRIDGE DR, #37, SALT LAKE CITY, UT 84117-5949
(801) 274-0612
Mailing address
4851 S. WOODBRIDGE DRIVE APT 37, SALT LAKE CITY, UT 84117
(801) 274-0612
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/02/2006
Last updated
07/08/2007
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