Organization
MERRITT W STITES LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERRITT W STITES LCSW (OWNER)
(801) 359-2240
Entity
Organization
Contact information
Practice address
559 10TH AVE, SALT LAKE CITY, UT 84103-3108
(801) 359-2240
(801) 364-1433
Mailing address
559 10TH AVE, SALT LAKE CITY, UT 84103-3108
(801) 359-2240
(801) 364-1433
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
132817-3501
UT
Other
Enumeration date
04/28/2009
Last updated
03/05/2012
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