Individual
JULIE DENISE MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
337 W SIR MONTE DR, ST GEORGE, UT 84770-8813
(614) 940-0231
Mailing address
9494 W FLAMINGO RD, LAS VEGAS, NV 89147-5718
(801) 407-4134
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
1025
NV
106H00000X
Marriage & Family Therapist
Primary
9152463-3902
UT
Other
Enumeration date
09/03/2013
Last updated
12/31/2020
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