Individual
CHYENNE MARIE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
580 E 600 S, PROVO, UT 84606-4806
(801) 373-7443
(801) 356-0322
Mailing address
40 W 300 S, SPRINGVILLE, UT 84663-1329
(719) 994-7645
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/10/2014
Last updated
04/27/2023
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