Individual
KRISTIN MEMMOTT MOSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, SLP-CCC
Contact information
Practice address
50 N MEDICAL DR, SLC, UT 84132-0001
(801) 581-2121
Mailing address
5279 GRAVENSTEIN PARK, MURRAY, UT 84123-4562
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/20/2008
Last updated
01/14/2010
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