Individual
RYAN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
66 S 360 E, AMERICAN FORK, UT 84003-2590
(801) 449-0017
Mailing address
803 W 175 S, SPRINGVILLE, UT 84663-5665
(207) 240-8886
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10635047-3502
UT
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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