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Individual

SHALLYN CHESLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18750 N 6750 E, MT PLEASANT, UT 84647-2309
(435) 462-5491
(435) 462-5492
Mailing address
619 N 500 W, PROVO, UT 84601-1547
(801) 375-4240
(801) 375-4241

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/30/2011
Last updated
06/30/2011
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