Individual
SANDY G MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
695 N 1170 EAST CIR, AMERICAN FORK, UT 84003-3547
(801) 231-7724
Mailing address
695 N 1170 EAST CIR, AMERICAN FORK, UT 84003-3547
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6236523-3501
UT
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/01/2012
Last updated
02/13/2024
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