Individual
MS. SHAWNERY MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 MARKET ST, SUITE 200, WEST VALLEY, UT 84119-3783
(801) 394-2096
Mailing address
381 N WASHINGTON BLVD, #C304, OGDEN, UT 84404-3913
(801) 394-2096
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
5913587-3904
UT
Other
Enumeration date
04/17/2006
Last updated
03/03/2010
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