ANN TALLEY COBURN

WEST JORDAN, UT
NPI1699076851
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT  68526866006)
Enumeration Date2010-11-04
Last Update Date2010-11-04
Business Address
-- ANN TALLEY COBURN LSAC
7601 SOUTH REDWOOD RD. BUILDING E
WEST JORDAN, UT 84084
Phone number: 801-233-8670
Mailing Address
-- ANN TALLEY COBURN LSAC
4187 S 3425 W
WEST VALLEY CITY, UT 84119-5079
Phone number: 801-755-1580
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