STACEY LYNN JOHANSON

EPHRAIM, UT
NPI1194476895
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date2022-01-13
Last Update Date2022-01-13
Business Address
STACEY LYNN JOHANSON
66 N 180 W
EPHRAIM, UT 84627-2130
Phone number: 435-283-0164
Mailing Address
STACEY LYNN JOHANSON
66 N 180 W
EPHRAIM, UT 84627-2130
Phone number: 435-283-0164
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