Individual
MR. MARK J MAUZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
755 S 400 W, PROVO, UT 84601-5855
(801) 422-7620
Mailing address
755 S 400 W, PROVO, UT 84601-5855
(801) 422-7620
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
6819274-3902
UT
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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