NPI 1942714886

Stacy Robinson, SUDC

Practitioner Rehabilitation Counselor West Jordan, UT

Practice location

Address: 7601 S Redwood Rd, West Jordan, UT 84084-4007
Phone: (801) 233-8670
Mailing address: 387 W Center St, Bountiful, UT 84010-7053

Registered specialties

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X Licence 3073130-6006 (UT)

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Registry record

NPI: 1942714886
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Nov 2017
Record last updated: 30 Nov 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.