Individual
MR. KEVIN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1443 W 800 N STE 103, OREM, UT 84057-2878
(801) 655-4950
Mailing address
1118 ECLIPSE DR, SAINT GEORGE, UT 84770-8027
(435) 414-5586
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7942817-3501
UT
Other
Enumeration date
01/20/2012
Last updated
08/06/2019
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