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1306583695
SAMANTHA GAYLE STINNETT
PROVO, UT
NPI
1306583695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 12853046-3506)
Enumeration Date
2022-05-17
Last Update Date
2022-10-06
Business Address
SAMANTHA GAYLE STINNETT CSW
4626 N 300 W STE 150
PROVO, UT 84604-6077
Phone number: 801-407-4134
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Mailing Address
SAMANTHA GAYLE STINNETT CSW
4626 N 300 W STE 150
PROVO, UT 84604-6077
Phone number: 801-407-4134
Copy
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