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1770072209
STACY GIBBONS
SALT LAKE CITY, UT
NPI
1770072209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-05-10
Last Update Date
2022-01-27
Business Address
STACY GIBBONS
1516 S 1100 E STE A
SALT LAKE CITY, UT 84105-2425
Phone number: 385-743-2226
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Mailing Address
STACY GIBBONS
2932 W RETA RIDGE CT
SOUTH JORDAN, UT 84095-1247
Phone number: 801-870-1598
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