Individual
CHANDRA DORSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAC
Contact information
Practice address
5742 ADAMS AVE PKWY, WASHINGTON TERRACE, UT 84405-7157
(928) 710-4115
Mailing address
4471 S 200 W, WASHINGTON TERRACE, UT 84405-5709
(928) 710-4115
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
132421476004
UT
Other
Enumeration date
08/02/2021
Last updated
01/09/2024
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