STACIE JANAE LARSON

SALT LAKE CITY, UT
NPI1396043519
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2011-03-11
Last Update Date2011-03-11
Business Address
Mrs. STACIE JANAE LARSON Adult Care Worker
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
Mailing Address
Mrs. STACIE JANAE LARSON Adult Care Worker
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: