Individual
MS. CLARE THERESE COONAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3809 W 6200 S, KEARNS, UT 84118-3725
(801) 963-4280
Mailing address
2536 KENWOOD ST, SALT LAKE CITY, UT 84106-3626
(801) 963-4280
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3436853501
UT
Other
Enumeration date
12/30/2005
Last updated
07/08/2007
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