Individual
ASPEN MEADOW MULCAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
822 E IRON ORE WAY, UNIT 304, SANDY, UT 84094
(801) 821-9066
Mailing address
882 E IRON ORE WAY UNIT 304, SANDY, UT 84094-7753
(801) 821-9066
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
UT
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/16/2022
Last updated
06/24/2024
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