KOI DERRICK COOK

MOAB, UT
NPI1568119048
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  12693112-3501)
Enumeration Date2022-03-04
Last Update Date2025-09-25
Business Address
KOI DERRICK COOK
198 E CENTER ST
MOAB, UT 84532-2430
Phone number: 435-259-6131
Mailing Address
KOI DERRICK COOK
PO BOX 867
PRICE, UT 84501-0867
Phone number: 435-637-7200
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