Shannon Louise Vanderkooi, L.C.S.W.

NPI #1023366127 in West Valley City, Utah

Provider Information

NPI Number
1023366127
Entity Type
Individual
Name
Shannon Louise Vanderkooi, L.C.S.W.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
L.C.S.W.
Enumeration Date
Aug 21, 2012
Last Updated
Aug 21, 2012

Practice Location

Address
5698 W GLEN EAGLE DR
State
Utah
ZIP Code
84128-4013
Phone
(801) 969-4181

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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