Individual
MR. CHARLES JOSEPH STUART IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SSW
Contact information
Practice address
750 NORTH 200 WEST, SUITE 300, PROVO, UT 84601
(801) 373-4760
Mailing address
4118 NORTH 190 WEST, PROVO, UT 84604
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/11/2011
Last updated
04/08/2024
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