Individual
ELIZABETH BAKER MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1872 S 1600 E, SALT LAKE CITY, UT 84105-3872
(801) 633-0610
Mailing address
1872 S 1600 E, SALT LAKE CITY, UT 84105-3872
(801) 486-1272
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
260995-3501
UT
Other
Enumeration date
08/14/2020
Last updated
01/14/2021
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