Individual
SALLY STOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
240 W 200 S, PMB 705, MILLVILLE, UT 84326
(435) 232-3069
Mailing address
PMB 705, MILLVILLE, UT 84326-7719
(435) 232-3069
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
11765645-3501
UT
Other
Enumeration date
06/29/2018
Last updated
03/13/2023
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