Chace Mcgwire Nicholson

NPI #1619799632 in Slc, Utah

Provider Information

NPI Number: 1619799632
Entity Type: Individual
Name: Chace Mcgwire Nicholson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Oct 30, 2024
Last Updated: Oct 30, 2024

Practice Location

Address: 1875 S REDWOOD RD
City: Slc
State: Utah
ZIP Code: 84104-5112
Phone: (801) 355-2846

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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