Individual
MICHAEL COLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
331 W 2700 S, SOUTH SALT LAKE, UT 84115-2904
(801) 456-9955
Mailing address
331 W 2700 S, SOUTH SALT LAKE, UT 84115-2904
(801) 456-9955
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/11/2017
Last updated
06/12/2023
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