Individual
LYDIA BABY MMOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1244 N MAIN ST STE 202, TOOELE, UT 84074-5009
(435) 850-7378
Mailing address
1244 N MAIN ST STE 202, TOOELE, UT 84074-5009
(435) 850-7378
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13457610-3502
UT
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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