Buny Moon Therapy, Pllcs
NPI #1053125658 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1053125658
- Entity Type
- Organization
- Organization Name
- Buny Moon Therapy, Pllcs
- Primary Specialty
- Social Worker
- Enumeration Date
- Feb 4, 2025
- Last Updated
- Feb 4, 2025
Practice Location
- Address
- 275 E SOUTH TEMPLE STE 350
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84111-1272
- Phone
- (512) 767-0685
Authorized Official
- Name
- IVY ROSE MARSH, LCSW
- Title
- OWNER
- Phone
- (512) 767-0685
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
Additional Practice Locations
167 N Adams St
Eugene, OR, 97402-4203
(512) 767-0685
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