Individual
MS. LISA FREW MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
INTERN
Contact information
Practice address
5300 S 500 E STE 6, OGDEN, UT 84405-6955
(801) 392-0942
(801) 392-0943
Mailing address
2980 W 4650 S, ROY, UT 84067-8956
(385) 444-5004
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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