Individual
ANDREA JENAE MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
433 E 2700 S, SALT LAKE CITY, UT 84115-3325
(313) 671-4985
Mailing address
7748 S ROPE KEY DR APT H208, MIDVALE, UT 84047-7567
(313) 671-4985
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9066300-4104
UT
Other
Enumeration date
09/04/2014
Last updated
02/08/2017
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