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STACEY JOHANSON
Emotionally Disturbed Childrens' Residential Treatment Facility
NPI: 1194476895Individual
Specialties, Licenses & Credentials
Residential Treatment Facility, Emotionally Disturbed Children
Code: 322D00000X
Contact & Hours
- Address
- 66 N 180 W
EPHRAIM, UT 84627 - Phone
- (435) 283-0164
Quick Facts
- NPI
- 1194476895
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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