JACOB GARRETT STACY

LOGAN, UT
NPI1750954343
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  10831025-3501)
Enumeration Date2021-07-21
Last Update Date2021-07-21
Business Address
JACOB GARRETT STACY LCSW, CSAT
40 W CACHE VALLEY BLVD STE 10A
LOGAN, UT 84341-8450
Phone number: 435-787-2272
Mailing Address
JACOB GARRETT STACY LCSW, CSAT
40 W CACHE VALLEY BLVD STE 10A
LOGAN, UT 84341-8450
Phone number: 435-787-2272
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