Individual
RYAN COLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
558 E CHERRY PLUM CT, SANDY, UT 84070-5320
(801) 618-6183
Mailing address
558 E CHERRY PLUM CT, SANDY, UT 84070-5320
(801) 618-6183
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7925519-3502
UT
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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