Individual
SARIAH COCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0639
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0639
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13477881-3503
UT
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/23/2021
Last updated
07/03/2023
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