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Individual

CASSANDRA COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
568 E 1400 S, OREM, UT 84097-7714
(801) 854-7942
Mailing address
355 N MILL RD UNIT E204, VINEYARD, UT 84059-5557
(774) 991-3840

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
125844993506
UT
104100000X
Social Worker

Other

Enumeration date
12/01/2021
Last updated
12/01/2021
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