Individual
REVA ANN PALMER COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
927 W 750 N, AMERICAN FORK, UT 84003-1172
(801) 367-5280
Mailing address
927 W 750 N, AMERICAN FORK, UT 84003-1172
(801) 367-5280
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2845133501
UT
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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