Individual
MS. RADHA C MOLDOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
390 N MAIN ST, BOUNTIFUL, UT 84010-6046
(801) 294-1000
(801) 292-8369
Mailing address
390 N MAIN ST, BOUNTIFUL, UT 84010-6046
(801) 294-1000
(801) 292-8369
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
58128873501
UT
Other
Enumeration date
11/28/2006
Last updated
11/30/2021
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