Shea Lila Chandler, CSW
Social Worker, Clinical in Ogden, UT. Individual provider (NPI-1).
NPI number1275174690
StatusActive
Last updated in NPPESOct 7, 2019
Details
- NPI
- 1275174690
- Entity type
- Individual (NPI-1)
- Name
- Shea Lila Chandler
- Credential
- CSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2019
- Last updated
- Oct 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 10378199-3502 | UT | Yes |
Practice location
533 26th St Ste 100Ogden, UT 84401-2459
Phone 801-917-9877 · Fax 801-459-1200
Mailing address
533 26th St Ste 100Ogden, UT 84401-2459
Phone 801-917-9877 · Fax 801-459-1200
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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