Individual
COLLIN STIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 N 300 W STE N221, SALT LAKE CITY, UT 84103-1421
(801) 232-8996
(801) 505-7110
Mailing address
825 N 300 W STE N221, SALT LAKE CITY, UT 84103-1421
(801) 232-8996
(801) 505-7110
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5605481-3501
UT
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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