MR. Stan M Fillmore, LCSW

NPI #1780785329 in Farmington, Utah

Provider Information

NPI Number
1780785329
Entity Type
Individual
Name
MR. Stan M Fillmore, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Sep 26, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
117 WEST 200 SOUTH
State
Utah
ZIP Code
84025-1036
Phone
(801) 451-4843

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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