Stuart Porter Squires, LCSW

NPI #1124328547 in Washington, Utah

Provider Information

NPI Number
1124328547
Entity Type
Individual
Name
Stuart Porter Squires, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Nov 1, 2010
Last Updated
Nov 1, 2010

Practice Location

Address
3761 S BRADE LN
State
Utah
ZIP Code
84780-2742
Phone
(435) 313-1712

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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