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Individual

JOEY COTHREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
610 E 3225 N, NORTH OGDEN, UT 84414-7501
(801) 564-1513
Mailing address
610 E 3225 N, NORTH OGDEN, UT 84414-7501

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6313680-3501
UT

Other

Enumeration date
11/14/2006
Last updated
02/05/2008
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