Individual
STACY ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDC
Contact information
Practice address
7601 S REDWOOD RD, WEST JORDAN, UT 84084-4007
(801) 233-8670
Mailing address
387 W CENTER ST, BOUNTIFUL, UT 84010-7053
(801) 560-8210
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
3073130-6006
UT
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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