Individual
DENA COLTHARP MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 W MAIN ST, VERNAL, UT 84078-2504
(801) 375-4240
(801) 375-4241
Mailing address
619 N 500 W, PROVO, UT 84601-1547
(801) 375-4240
(801) 375-4241
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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