Individual
EMILY MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1152 E 200 N, AMERICAN FORK, UT 84003-2004
(801) 855-4100
Mailing address
1152 E 200 N, AMERICAN FORK, UT 84003-2004
(801) 855-4100
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
11377406-3602
UT
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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