STACY ELIZABETH MASON

LOGAN, UT
NPI1831335413
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT  7033785-6006)
Enumeration Date2009-01-02
Last Update Date2009-01-02
Business Address
-- STACY ELIZABETH MASON
655 E 1300 N
LOGAN, UT 84341-2570
Phone number: 435-792-6491
Mailing Address
-- STACY ELIZABETH MASON
655 E 1300 N
LOGAN, UT 84341
Phone number: 435-792-6491
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