Individual
REBECCA MIKVA COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
155 E 900 S STE 11, SALT LAKE CITY, UT 84111-4229
(773) 616-7389
Mailing address
155 E 900 S STE 11, SALT LAKE CITY, UT 84111-4229
(773) 616-7389
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10333326-3501
UT
Other
Enumeration date
03/25/2015
Last updated
01/17/2020
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