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Organization

BUNY MOON THERAPY, PLLCS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IVY ROSE MARSH LCSW (OWNER)
(512) 767-0685
Entity
Organization

Contact information

Practice address
275 E SOUTH TEMPLE STE 350, SALT LAKE CITY, UT 84111-1272
(512) 767-0685
Mailing address
2205 N PINECREST CANYON RD, SALT LAKE CITY, UT 84108-1853
(512) 767-0685

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
02/04/2025
Last updated
02/04/2025
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