Individual
MR. JEFFREY SCOTT MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
430 E 450 S, CLEARFIELD, UT 84015-1736
(801) 540-8054
(801) 776-4162
Mailing address
1637 E 1470 S, OGDEN, UT 84404-6087
(801) 540-8054
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6229733501
UT
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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