MR. Lucas James Moulton, LCSW, CRC, LVRC

NPI #1265707038 in Orem, Utah

Provider Information

NPI Number: 1265707038
Entity Type: Individual
Name: MR. Lucas James Moulton, LCSW, CRC, LVRC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW, CRC, LVRC
Enumeration Date: Mar 13, 2012
Last Updated: Mar 13, 2012

Practice Location

Address: 1358 PROVO SLOUGH ACCESS RD
City: Orem
State: Utah
ZIP Code: 84058
Phone: (801) 373-1197

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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