MACKENZIE DIANE COOK

HERRIMAN, UT
NPI1710409578
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2017-07-13
Last Update Date2017-07-13
Business Address
MACKENZIE DIANE COOK
13947 S NEWBURG DR
HERRIMAN, UT 84096-6787
Phone number: 801-506-6695
Mailing Address
MACKENZIE DIANE COOK
13947 S NEWBURG DR
HERRIMAN, UT 84096-6787
Phone number:
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