Individual
STEPHANIE LAUREN TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
415 MEDICAL DR STE D101, BOUNTIFUL, UT 84010-8905
(801) 683-1062
Mailing address
415 MEDICAL DR STE D101, BOUNTIFUL, UT 84010-8905
(801) 683-1062
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12322055-3502
UT
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
08/09/2019
Last updated
06/03/2021
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