STAN M FILLMORE

FARMINGTON, UT
NPI1780785329
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  1100853501)
Enumeration Date2006-09-26
Last Update Date2007-07-08
Business Address
Mr. STAN M FILLMORE LCSW
117 WEST 200 SOUTH
FARMINGTON, UT 84025-1036
Phone number: 801-451-4843
Mailing Address
Mr. STAN M FILLMORE LCSW
PO BOX 1036 117 W 200 SO
FARMINGTON, UT 84025-1036
Phone number: 801-451-4843
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