Mary Kay Coco L.C.S.W D.S.W

NPI 1073637583 - Counselor - 101YM0800X

NPI Details
NPI 1073637583
Gender Female
Enumeration Date 03/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1054 E 900 S
SALT LAKE CITY UT, 84105-1433, US
Phone (801) 359-4021
Fax (801) 359-4025
Business Location
1054 EAST 1050 SOUTH
SALT LAKE CITY UT, 84105-1433, US
Phone (801) 359-4021
Fax (801) 359-4025
Toxanomy
Taxonomy Code 101YM0800X
License State Utah
License Number 1293553501
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According to our database, Dr. Mary Kay Coco L.C.S.W D.S.W NPI is 1073637583, taxonomy code is 101YM0800X and license number is 1293553501, license state is located at Utah. Mary Kay Coco L.C.S.W D.S.W physically located at 1054 E 900 S, Salt Lake City UT, 84105-1433. NPI Number Mary Kay Coco L.C.S.W D.S.W has the Individual type.

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1073637583 NPI number is provided on an as is basis without warranty of any kind. 1073637583 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Kay Coco L.C.S.W D.S.W are for informational purposes only.