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Individual

DEBBIE G MOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AMFT

Contact information

Practice address
722 SHEPARD LN STE 101, FARMINGTON, UT 84025-3845
(801) 837-3228
(888) 778-2417
Mailing address
733 KING ST # 263, LAYTON, UT 84041-4672
(801) 837-3228
(888) 778-2417

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
5484887-3904
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1629381355
UT
Enumeration date
09/02/2010
Last updated
03/10/2011
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