Individual
CASEY TELFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CM
Contact information
Practice address
11978 S REDWOOD RD, RIVERTON, UT 84065-7403
(385) 695-0125
(801) 747-6858
Mailing address
11978 S REDWOOD RD, RIVERTON, UT 84065-7403
(801) 839-4384
(801) 747-6858
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CCM-00303
UT
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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