Individual
MATTISON DOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10428 S 4000 W, SOUTH JORDAN, UT 84009-5794
(801) 556-8839
Mailing address
12297 S PEDROIA ST, HERRIMAN, UT 84096-2979
(801) 556-8839
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
UT
Other
Enumeration date
05/06/2021
Last updated
01/28/2025
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