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1285489351
SHILEA DIANNE COOPER
SOUTH JORDAN, UT
NPI
1285489351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 13330295-6009)
Enumeration Date
2024-04-22
Last Update Date
2024-05-06
Business Address
SHILEA DIANNE COOPER
1258 W SOUTH JORDAN PKWY STE 202
SOUTH JORDAN, UT 84095-4712
Phone number: 801-255-1155
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Mailing Address
SHILEA DIANNE COOPER
10961 S CHAMP JASPER WAY
SOUTH JORDAN, UT 84095-1243
Phone number: 801-671-2647
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