Individual
SETH CONRAD CHIPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
763 N 1650 W, SPRINGVILLE, UT 84663-5066
(801) 815-0087
Mailing address
1266 DUNMORE DR, SPRINGVILLE, UT 84663-3552
(801) 815-0087
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11343983-3502
UT
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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