Individual
LOUTHILIA MOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2687 E PROMENADE DR, SALT LAKE CITY, UT 84121-4035
(801) 645-3996
Mailing address
2687 E PROMENADE DR, SALT LAKE CITY, UT 84121-4035
(801) 645-3996
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7991152-3501
UT
Other
Enumeration date
08/23/2021
Last updated
07/30/2025
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