Individual
KATELYNN BROOKE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
474 W 200 N, ST GEORGE, UT 84770-4505
(435) 634-5600
Mailing address
2828 CIRCLE DR, SANTA CLARA, UT 84765-5716
(435) 656-5116
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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