STACIE ELISE LATER

LOGAN, UT
NPI1568034114
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: UT  7886666-3506)
Enumeration Date2021-07-13
Last Update Date2021-07-13
Business Address
STACIE ELISE LATER
115 GOLF COURSE RD STE E
LOGAN, UT 84321-5934
Phone number: 435-535-3782
Mailing Address
STACIE ELISE LATER
115 GOLF COURSE RD STE E
LOGAN, UT 84321-5934
Phone number:
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