Individual
MONIQUE CHACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5965 S 900 E, MURRAY, UT 84121-1720
(801) 263-7138
Mailing address
4600 S 2850 W APT 201, WEST VALLEY, UT 84119-6368
(801) 649-8314
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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