Benjamin Virlow Moore, CSW

NPI #1710208848 in Price, Utah

Provider Information

NPI Number: 1710208848
Entity Type: Individual
Name: Benjamin Virlow Moore, CSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: CSW
Enumeration Date: Jun 11, 2010
Last Updated: Jun 11, 2010

Practice Location

Address: 575 EAST 100 SOUTH
City: Price
State: Utah
ZIP Code: 84501
Phone: (435) 637-2358

Specialties & Taxonomy Codes

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

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