Individual
MS. CARLA COATES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7434 S STATE ST, MIDVALE, UT 84047-2014
(801) 566-4423
(801) 566-4779
Mailing address
7434 S STATE ST, MIDVALE, UT 84047-2014
(801) 566-4423
(801) 566-4779
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1257503501
UT
Other
Enumeration date
12/28/2005
Last updated
07/09/2007
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