Individual
COOPER LANDVATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
142 S 100 E, BRIGHAM CITY, UT 84302-2644
(801) 232-5946
Mailing address
142 S 100 E, BRIGHAM CITY, UT 84302-2644
(801) 232-5946
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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