Organization
LUNA Y SOL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA SYLVESTER LCSW (OWNER / DIRECTOR)
(801) 949-1993
Entity
Organization
Contact information
Practice address
150 S 600 E STE 7C, SALT LAKE CITY, UT 84102-1989
(801) 949-1993
Mailing address
1204 S MCCLELLAND ST, SALT LAKE CITY, UT 84105-1825
(801) 949-1993
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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