Individual
CHARLES RHETT CRAGUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5899 W RIVENDELL DR, WEST JORDAN, UT 84081-6500
(801) 631-9531
Mailing address
5899 W RIVENDELL DR, WEST JORDAN, UT 84081-6500
(801) 631-9531
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5135079-3501
UT
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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