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Ms. STACIE ELLEN COTTRELL LCSW

Individual Provider (NPI-1) Active

Social Worker, Clinical

Provider Information

NPI Number
1063853877
Provider Type
Individual Provider (NPI-1)
Credentials
LCSW
Status
Active

Contact & Location

Address
985 E 4500 S, MILLCREEK, UT, 841174153
Phone
(385) 881-3398

Specialties & Taxonomies

Social Worker, School License: UT #10875612-3501
Licensed Psychiatric Technician
Social Worker, Clinical Primary License: UT #10875612-3501

All Addresses

LOCATION

985 E 4500 S

MILLCREEK, UT, 841174153

(385) 881-3398

MAILING

985 E 4500 S

MILLCREEK, UT, 841174153

(385) 881-3398