LUCAS JAMES MOULTON

OREM, UT
NPI1265707038
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  7126504-3501)
Enumeration Date2012-03-13
Last Update Date2012-03-13
Business Address
Mr. LUCAS JAMES MOULTON LCSW, CRC, LVRC
1358 PROVO SLOUGH ACCESS RD
OREM, UT 84058
Phone number: 801-373-1197
Mailing Address
Mr. LUCAS JAMES MOULTON LCSW, CRC, LVRC
1358 PROVO SLOUGH ACCESS RD
OREM, UT 84058
Phone number: 801-373-1197
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