Individual
MASON CURTIS STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
269 W 780 S, LOGAN, UT 84321-5467
(435) 890-0480
Mailing address
3522 BRIAR CREEK LN, AMMON, ID 83406-4728
(208) 529-1660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9094603-3501
UT
Other
Enumeration date
09/09/2010
Last updated
09/28/2019
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