Individual
CORY VIRGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
558 N 2310 W, PROVO, UT 84601-7253
(801) 356-2799
Mailing address
558 N 2310 W, PROVO, UT 84601-7253
(801) 356-2799
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
373270-351
UT
Other
Enumeration date
01/01/2014
Last updated
01/01/2014
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