Individual
CHANDEE CYRENA CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
533 W STATE RD STE 103, PLEASANT GROVE, UT 84062-2114
(801) 506-6695
Mailing address
533 W STATE RD STE 103, PLEASANT GROVE, UT 84062-2114
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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