Individual
CAITLIN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11618 S STATE ST STE 1604, DRAPER, UT 84020-7123
(385) 202-5645
Mailing address
1136 E SUNNYSIDE AVE, SALT LAKE CITY, UT 84102-3726
(661) 964-9294
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/29/2024
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