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Individual

HADYN KYLE STIMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1053 W 1020 S, PROVO, UT 84601-5656
(801) 515-3323
Mailing address
145 E CENTER ST APT 2C, PROVO, UT 84606-5585
(208) 809-8818

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12101169-6018
UT

Other

Enumeration date
07/12/2021
Last updated
07/12/2021
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