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1366940066
LUCRETIA STALLINGS
BOUNTIFUL, UT
NPI
1366940066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 12358017-3501)
Enumeration Date
2018-01-28
Last Update Date
2023-09-13
Business Address
LUCRETIA STALLINGS
415 MEDICAL DR STE 100
BOUNTIFUL, UT 84010-4946
Phone number: 801-683-1062
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Mailing Address
LUCRETIA STALLINGS
415 MEDICAL DR STE 100
BOUNTIFUL, UT 84010-4946
Phone number: 801-683-1062
Copy
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