Individual
HEATHER MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13222 TREE SPARROW DR STE R210, RIVERTON, UT 84096-2889
(801) 872-5516
Mailing address
11952 S 3085 W, RIVERTON, UT 84065-2413
(801) 638-4910
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7177367-3501
UT
Other
Enumeration date
05/31/2012
Last updated
11/08/2024
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