Individual
SHAUNA R. CHACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 N MAIN ST, TOOELE, UT 84074-2139
(435) 850-8723
Mailing address
PO BOX 900245, SANDY, UT 84090-0245
(801) 634-8727
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6796437-6009
UT
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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