Individual
JANAKA VANDER KOOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9263 REDWOOD RD BLDG 8, WEST JORDAN, UT 84088-6571
(801) 566-0749
(801) 566-7108
Mailing address
9263 REDWOOD RD BLDG 8, WEST JORDAN, UT 84088-6571
(801) 566-0749
(801) 566-7108
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6657928-3501
UT
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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