Most Relevant Information
Provider Data
| NPI Number: | 1003675158 |
| Provider Name: | MACKENZIE ANN STOCKING |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/18/2024 |
| Last Updated: | 03/18/2024 |
Provider Practice Location
5937 S REDWOOD RD
TAYLORSVILLE
UT
841235254
Practice Location Phone/Fax
| Phone: | 8015766444 |
| Fax: |
Provider Mailing Location
132 E BOXCAR LN
SARATOGA SPRINGS
UT
840451500
Provider Mailing Phone/Fax
| Phone: | 4357091172 |
| Fax: |