Organization
COURAGEOUS CORNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MOORE LCSW (OWNER, LCSW)
(801) 210-9993
Entity
Organization
Contact information
Practice address
10929 S REDWOOD RD STE 213, SOUTH JORDAN, UT 84095-8204
(801) 210-9993
Mailing address
10929 S REDWOOD RD STE 213, SOUTH JORDAN, UT 84095-8204
(801) 210-9993
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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