TIFFANY STATHAM

PROVO, UT
NPI1669808317
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  7922725-3501)
Enumeration Date2013-09-25
Last Update Date2021-09-30
Business Address
TIFFANY STATHAM LCSW
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-2068
Mailing Address
TIFFANY STATHAM LCSW
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-2068
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