Individual
MR. STAN J BOSCHETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SSW
Contact information
Practice address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3813
Mailing address
1382 N 985 W, OREM, UT 84057-2466
(801) 221-0715
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
132546-3503
UT
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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