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1740393859
CHARLOTTE ANN CANELLA
SALT LAKE CITY, UT
NPI
1740393859
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Former Name
CHARLOTTE ANN JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: UT 8595304-6004)
Enumeration Date
2006-08-16
Last Update Date
2016-09-17
Business Address
Mrs. CHARLOTTE ANN CANELLA MED LCPC
535 E 4500 S STE 280
SALT LAKE CITY, UT 84107-2929
Phone number: 801-440-6381
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Mailing Address
Mrs. CHARLOTTE ANN CANELLA MED LCPC
6966 S CHERRY LEAF DR APT 411
WEST JORDAN, UT 84084-5782
Phone number: 801-440-6381
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