Charles Ellison
Charles Ellison is a Case Manager/Care Coordinator in Provo, Utah. Licensed in Utah. Registered with an NPI since 2015.
- Licensed in
- UT
- In the registry since
- 2015
Practice location Address checks out
750 N Freedom BlvdProvo, UT 84601-1677
Phone: (801) 373-4760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X · Licence 179122236 (UT) |
|---|
Record details
| NPI number | 1225419682 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 11, 2015 |
| Last updated in NPPES | June 11, 2015 |
| Mailing address | 750 N Freedom Blvd, Provo, UT 84601-1677 |
Other providers in Provo
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Joanna Ruth Eismann, CCM
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Mrs. Brynna Boettcher Ellison
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Osayamen Enosakhare
750 N Freedom Blvd Ste 300, Provo, UT 84601-1690 · (801) 373-4760
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750 N Freedom Blvd, Provo, UT 84601-1677 · (801) 373-4760
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