Individual
MISS TANA LEE CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3280 W 3500 S STE E, WEST VALLEY CITY, UT 84119-2668
(801) 979-1351
Mailing address
3280 W 3500 S STE E, WEST VALLEY CITY, UT 84119-2668
(801) 979-1351
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
293442-3503
UT
Other
Enumeration date
02/16/2011
Last updated
02/07/2022
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