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Contact Information

STACIE E COTTRELL, LCSW
985 E 4500 S
MILLCREEK, UT84117-4153
 Phone: 385-881-3398
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Licensed Psychiatric Technician

167G00000X
 

School

1041S0200X
Indicates primary specialty

NPI Profile & details for STACIE E COTTRELL · (Female)

NPI Number 1063853877
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 07/09/2013
Last updated 06/07/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 10875612-3501
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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