Individual
EMILY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
835 W 400 N, OREM, UT 84057-4566
(801) 251-6884
Mailing address
1451 N 1020 E, AMERICAN FORK, UT 84003-3238
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10872697-3502
UT
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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