| Tarah Stowell, Lcsw, Llc | |
|
2465 Kilby Rd Park City UT 84098-8212 | |
| (801) 243-9994 | |
| Not Available |
| Full Name | Tarah Stowell, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2465 Kilby Rd, Park City, Utah |
| Authorized Official Name and Position | Tarah Stowell (OWNER) |
| Authorized Official Contact | 8012439994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarah Stowell, Lcsw, Llc 5280 Bridle Way Oakley UT 84055-2112 Ph: (801) 243-9994 | Tarah Stowell, Lcsw, Llc 2465 Kilby Rd Park City UT 84098-8212 Ph: (801) 243-9994 |
| NPI Number | 1447895214 |
|---|---|
| Provider Enumeration Date | 11/15/2019 |
| Last Update Date | 11/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447895214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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