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Individual

DR. MARY KAY COCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W D.S.W

Contact information

Practice address
1054 E 900 S, SALT LAKE CITY, UT 84105-1433
(801) 359-4021
(801) 359-4025
Mailing address
1054 EAST 1050 SOUTH, SALT LAKE CITY, UT 84105-1433
(801) 359-4021
(801) 359-4025

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1293553501
UT

Other

Enumeration date
03/19/2007
Last updated
07/08/2007
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