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1689193906
STEPHANIE A MCDONALD
PROVO, UT
NPI
1689193906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 5609062-3502)
Enumeration Date
2017-09-19
Last Update Date
2017-09-19
Business Address
STEPHANIE A MCDONALD CSW
299 E 900 S
PROVO, UT 84606-6107
Phone number: 801-373-4760
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Mailing Address
STEPHANIE A MCDONALD CSW
944 S. 2350 E.
SPRINGVILLE, UT 84663
Phone number:
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