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Individual

MRS. FARROKH HOSSEINI MOZARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MASTER LMFT

Contact information

Practice address
7434 S STATE ST, MIDVALE, UT 84047-2014
(801) 566-4423
Mailing address
7434 S STATE ST, MIDVALE, UT 84047-2014
(801) 566-4423

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
114824-3902
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107001225101
INTERMONTN HEALTH CARE
UT
01
261953
DESERT MUTUAL
UT
01
942938348H02
EDUCATORS MUTUAL
UT
Enumeration date
12/21/2005
Last updated
03/17/2008
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