Stacey Lynn Johanson
NPI #1194476895 in Ephraim, Utah
Provider Information
- NPI Number
- 1194476895
- Entity Type
- Individual
- Name
- Stacey Lynn Johanson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Jan 13, 2022
- Last Updated
- Jan 13, 2022
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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