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1356697908
STANLEY CARL SMOOT
PROVO, UT
NPI
1356697908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: UT 4913128-2501)
Enumeration Date
2012-08-01
Last Update Date
2023-03-22
Business Address
STANLEY CARL SMOOT PhD
1300 E CENTER ST
PROVO, UT 84606-3554
Phone number: 801-344-4400
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Mailing Address
STANLEY CARL SMOOT PhD
1300 E CENTER ST
PROVO, UT 84606-3554
Phone number: 801-344-4400
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