Individual
JULIANNE KOER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403
(801) 387-7028
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
264211-3501
UT
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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