Individual
CHYENNE A WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 428-4257
Mailing address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(715) 584-6276
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0902936408
—
UT
Enumeration date
03/18/2021
Last updated
03/18/2021
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