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1821076803
DAVID COOP KOLDEWYN
MIDVALE, UT
NPI
1821076803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 2948753501)
Enumeration Date
2006-01-09
Last Update Date
2007-07-08
Business Address
Mr. DAVID COOP KOLDEWYN LCSW
195 W 7200 S
MIDVALE, UT 84047-3703
Phone number: 801-565-6900
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Mailing Address
Mr. DAVID COOP KOLDEWYN LCSW
1802 OMNI AVE
SALT LAKE CITY, UT 84116-4600
Phone number: 801-322-3136
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