Individual
CHARLES T UTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8548
(253) 697-8392
Mailing address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8548
(253) 697-8392
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC60023147
WA
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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