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1023366127
SHANNON LOUISE VANDERKOOI
WEST VALLEY CITY, UT
NPI
1023366127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 54237883501)
Enumeration Date
2012-08-21
Last Update Date
2012-08-21
Business Address
-- SHANNON LOUISE VANDERKOOI L.C.S.W.
5698 W GLEN EAGLE DR
WEST VALLEY CITY, UT 84128-4013
Phone number: 801-969-4181
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Mailing Address
-- SHANNON LOUISE VANDERKOOI L.C.S.W.
6671 W HAVEN MAPLE DR
WEST JORDAN, UT 84081-2957
Phone number: 801-304-0943
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