Individual
CHELSIE SHORTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1258 W S JORDAN PKWY, #202, SOUTH JORDAN, UT 84095-4711
(801) 255-1155
Mailing address
1258 W S JORDAN PKWY, #202, SOUTH JORDAN, UT 84095-4711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/05/2013
Last updated
11/06/2015
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