Individual
MR. STEVEN JEREMEY FACER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5930 S 4800 W, KEARNS, UT 84118-6061
(801) 966-7133
Mailing address
3810 S REDWOOD RD, APT 2094, WEST VALLEY, UT 84119-6530
(801) 707-0182
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
UT
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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