STEPHANIE SLACK

CEDAR CITY, UT
NPI1356517023
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-05-02
Last Update Date2008-05-02
Business Address
-- STEPHANIE SLACK
54 N 200 E
CEDAR CITY, UT 84720-2615
Phone number: 435-586-2515
Mailing Address
-- STEPHANIE SLACK
474 W 200 N STE#300
ST GEORGE, UT 84770-4505
Phone number: 435-634-5600