Individual
ESTIE COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6910 S HIGHLAND DR, COTTONWOOD HEIGHTS, UT 84121-3060
(541) 441-6621
Mailing address
613 W 1975 N, PROVO, UT 84604-1414
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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