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Individual

ANNETTE STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2283 S 800 E, SALT LAKE CITY, UT 84106-1872
(801) 474-2775
Mailing address
2283 SOUTH 800 EAST, SALT LAKE CITY, UT 84106
(801) 474-2775

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
322025-3501
UT

Other

Enumeration date
04/01/2010
Last updated
04/01/2010
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