Individual
MRS. ANGELIQUE COLEMERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1399 S 700 E STE 16, SALT LAKE CITY, UT 84105-2170
(385) 800-1807
Mailing address
559 E EMERSON AVE, SALT LAKE CITY, UT 84105-2028
(385) 800-1807
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
324450-3501
UT
Other
Enumeration date
08/02/2020
Last updated
08/02/2020
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