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Individual

CHERI SHUTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSW

Contact information

Practice address
1790 N STATE ST, OREM, UT 84057-2025
(801) 224-8255
(801) 224-8301
Mailing address
1790 N STATE ST, OREM, UT 84057-2025
(801) 224-8255
(801) 224-8301

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4801785-3502
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4801785-3502
DOBL
UT
Enumeration date
02/04/2021
Last updated
02/04/2021
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