Individual
DANA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
474 W 200 N, ST GEORGE, UT 84770-4505
(435) 414-4362
Mailing address
982 E FACTORY DR, ST GEORGE, UT 84790-4892
(435) 705-0044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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