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Individual

LISA MARIE COOLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13222 TREE SPARROW DR STE R200, RIVERTON, UT 84096-2888
(801) 432-0991
Mailing address
5024 W FROGS LEAP DR APT 1107, SOUTH JORDAN, UT 84009-4735
(317) 440-5167

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14203295-3502
UT

Other

Enumeration date
05/01/2025
Last updated
11/04/2025
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