Individual
MS. JUNETTA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1225 E FORT UNION BLVD, SUITE 215, COTTONWOOD HEIGHTS, UT 84047-1889
(801) 233-4200
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 233-4200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6659457-3501
UT
Other
Enumeration date
01/24/2012
Last updated
07/01/2016
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