Individual
ANNA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
440 S 500 E, SALT LAKE CITY, UT 84102-2705
(385) 377-2491
Mailing address
440 S 500 E, SALT LAKE CITY, UT 84102-2705
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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