TANNER MOFFAT

PROVO, UT
NPI1205672227
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  14006549-3502)
Enumeration Date2024-07-09
Last Update Date2026-06-04
Business Address
TANNER MOFFAT
3210 N CANYON RD STE 204
PROVO, UT 84604-5608
Phone number: 385-204-6273
Mailing Address
TANNER MOFFAT
3210 N CANYON RD STE 204
PROVO, UT 84604-5608
Phone number: 385-204-6273
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